| NPI | 1669225116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN PATRICK DUNGCA GAN Doctor Of Physical Therapy 702-580-7489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2024-04-05 |
| Last Update Date | 2024-04-05 |