Doreen Tagavilla Cariaga
Physical Therapist in Las Vegas, NV. Individual provider (NPI-1).
NPI number1962045211
StatusActive
Last updated in NPPESOct 18, 2019
Details
- NPI
- 1962045211
- Entity type
- Individual (NPI-1)
- Name
- Doreen Tagavilla Cariaga
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 18, 2019
- Last updated
- Oct 18, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 4107 | NV | Yes |
Practice location
2012 S Jones BlvdLas Vegas, NV 89146-3151
Phone 702-360-1137
Mailing address
9712 Red Horse StLas Vegas, NV 89143-1158
Phone 702-544-3406
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