| NPI | 1235799941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNA YATES Billing Manager 702-655-2455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 225XM0800X Occupational Therapist, Mental Health | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2025-09-24 |