| NPI | 1245078138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY BENGOA PT/Managing Member 775-455-0049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| Enumeration Date | 2024-07-16 |
| Last Update Date | 2025-08-06 |