| NPI | 1801627823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLEY R CARTER Owner 702-964-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 208000000X Pediatrics |
| 208100000X Physical Medicine & Rehabilitation | |
| 224Z00000X Occupational Therapy Assistant | |
| 225100000X Physical Therapist | |
| 2251P0200X Physical Therapist, Pediatrics | |
| 225X00000X Occupational Therapist | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2024-08-12 |
| Last Update Date | 2024-08-12 |