| NPI | 1689339087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELSEY ANNE CHICVARA Physical Therapist 775-671-5159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology |
| Enumeration Date | 2021-11-01 |
| Last Update Date | 2021-12-08 |