| NPI | 1700992971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK DEAN CLOSE Physical Therapist 702-731-6873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 57) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2012-05-23 |