| NPI | 1760228597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARNIE ANNE LANCZ Director 702-556-3132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric |
| 2251P0200X Physical Therapist, Pediatrics | |
| 235Z00000X Speech-Language Pathologist, | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2024-07-02 |
| Last Update Date | 2024-07-02 |