| NPI | 1760665533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL MOORE Office Manager 702-457-7463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NV 10534) |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2008-01-16 |