| NPI | 1346739562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS BOWEN Owner 702-241-5568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2019-05-21 |