NPI | 1902446792 |
---|---|
Entity Type | Organization |
Authorized Contact | MIKE SIDECO Manager 702-326-0528 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 225X00000X Occupational Therapist |
Enumeration Date | 2020-01-09 |
Last Update Date | 2021-04-20 |