| NPI | 1730519695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT WALFORD Owner 702-400-6916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CO PTL5729) |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2013-11-13 |