| NPI | 1689874307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL ELAINE MOORE Office Manager 702-457-7463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NV 11173) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2010-05-10 |