| NPI | 1801336169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL L MOORE Sole Member/D PT 775-962-2047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2024-10-11 |