| NPI | 1538318472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOREEN CASTEL A/R Supervisor 702-889-9240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2008-09-16 |