| NPI | 1760842876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LACEE BUKOSKEY Owner 702-565-5011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NV 09-0166) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 2251P0200X Physical Therapist, Pediatrics | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2022-01-25 |