| NPI | 1538561055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY LEAVITT Physical Therapist/Manager 702-263-4993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 2002) |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2015-02-06 |