Individual provider · NPI-1

Mary Charis Kirby Briones Alcantara, PT

Physical Therapist · Henderson, NV

NPI number1861051898
StatusActive
Last updated in NPPESJun 12, 2019

Details

NPI
1861051898
Entity type
Individual (NPI-1)
Name
Mary Charis Kirby Briones Alcantara
Credential
PT
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 12, 2019
Last updated
Jun 12, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist3988NVYes

Practice location

9011 Sierra Palms Way
Henderson, NV 89074-6969

Phone 702-227-4477

Mailing address

1848 Morro Vista Dr
Las Vegas, NV 89135-3600

Phone 702-339-9354

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