Individual provider · NPI-1

Divya Abraham, DPT

Physical Therapist · Henderson, NV

NPI number1073182002
StatusActive
Last updated in NPPESNov 9, 2023

Details

NPI
1073182002
Entity type
Individual (NPI-1)
Name
Divya Abraham
Credential
DPT
Sex
Female
Sole proprietor
No
Enumeration date
Jun 23, 2021
Certification date
Oct 19, 2023
Last updated
Nov 9, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist5194NVYes
225100000X Physical Therapist1294650TX

Practice location

2651 Paseo Verde Pkwy Ste 170
Henderson, NV 89074-6616

Phone 702-312-4878 · Fax 702-312-4886

Mailing address

2651 Paseo Verde Pkwy Ste 170
Henderson, NV 89074-6616

Phone 702-312-4878 · Fax 702-312-4886

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