| NPI | 1376698514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONYCA L JENSEN Office Manager 775-423-5233 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2023-03-22 |