| NPI | 1255124475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTI DEROUIN RAYNER Authorized Official 702-419-8120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2025-05-28 |
| Last Update Date | 2025-08-07 |