| NPI | 1538499876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORY RON BIENIEMY C.E.O./Owner 702-570-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 251S00000X (Licence: NV 251S00000X) |
| Enumeration Date | 2010-01-08 |
| Last Update Date | 2015-02-06 |