| NPI | 1417420977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID WATSON GILBERT Administrator 702-570-6222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2019-01-08 |