| NPI | 1821406430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTOPHER BOSCH Member/Physical Therapist 702-768-9996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NV NV20141334042) |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2014-07-28 |