| NPI | 1497985048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLEN NEAL WALDRON Owner/Partner 775-738-4494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 1794) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 2233) |
| 225X00000X Occupational Therapist (Licence: NV 0693) | |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2010-04-20 |