TED R VIDAL

LAS VEGAS, NV
NPI1740998434
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NV  A-1516)
Enumeration Date2022-11-10
Last Update Date2022-11-10
Business Address
MR. TED R VIDAL PTA
6823 PONDEROSA WAY
LAS VEGAS, NV 89118-2100
Phone number: 702-665-4054
Mailing Address
MR. TED R VIDAL PTA
6823 PONDEROSA WAY
LAS VEGAS, NV 89118-2100
Phone number: 702-665-4054
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