Organization
BODYWISE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MONIQUE B HAVILAND M.S.P.T. (CEO/PHYSICAL THERAPIST)
(775) 783-7606
Entity
Organization
Contact information
Practice address
1667 LUCERNE ST STE B, MINDEN, NV 89423-4360
(775) 783-7606
(775) 783-7605
Mailing address
PO BOX 280, MINDEN, NV 89423-0280
(775) 783-7606
(775) 783-7605
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1784
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100508043
—
NV
Enumeration date
12/18/2007
Last updated
03/05/2020
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