Physical Therapy Specialist
Clinic/Center, Physical Therapy in Minden, NV. Organization (NPI-2).
NPI number1710071469
StatusActive
Last updated in NPPESMay 22, 2008
Details
- NPI
- 1710071469
- Entity type
- Organization (NPI-2)
- Legal business name
- Physical Therapy Specialist
- Organization subpart
- No
- Enumeration date
- Oct 3, 2006
- Last updated
- May 22, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | 1281 | NV | Yes |
Practice location
1625 Hwy 88Suite 302
Minden, NV 89423
Phone 775-782-4422 · Fax 775-782-4232
Mailing address
1625 Hwy 88Suite 302
Minden, NV 89423
Phone 775-782-4422 · Fax 775-782-4232
Authorized official
William Scott Wall
Physical Therapist
7757824422
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