# PANDA MOVEMENT RECOVERY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Panda Movement Recovery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619682853
- **Authorized official:** CINDY HERNANDEZ LMT, MMP, FMT, CPT (OWNER)
- **Authorized official phone:** (310) 874-0408

## Contact information

- **Practice address:** 1820 S RAINBOW BLVD \# 101, LAS VEGAS, NV 89146-2911
- **Practice address phone:** (310) 874-0408
- **Mailing address:** 8659 VERMONT VISTA ST, LAS VEGAS, NV 89113-5540
- **Mailing address phone:** (310) 874-0408

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 273Y00000X | Rehabilitation Hospital Unit | — | NULL | Yes |

## Other

- **Enumeration date:** 01/23/2023
- **Last updated:** 01/23/2023