| NPI | 1497501019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAINT DON NIEL BAUTISTA REYES CEO 702-289-9797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| Enumeration Date | 2024-04-25 |
| Last Update Date | 2024-04-25 |