Brenda Lee Kolobakken
Rehabilitation Practitioner in Las Vegas, NV. Individual provider (NPI-1).
NPI number1295089282
StatusActive
Last updated in NPPESOct 30, 2012
Details
- NPI
- 1295089282
- Entity type
- Individual (NPI-1)
- Name
- Ms. Brenda Lee Kolobakken
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 30, 2012
- Last updated
- Oct 30, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | – | Yes |
Practice location
4160 S Pecos RdSuite 17
Las Vegas, NV 89121-5025
Phone 702-396-3464
Mailing address
4160 S Pecos RdSuite 17
Las Vegas, NV 89121-5025
Phone 702-396-3464
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