Individual
GORDON WAT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1041 VIA DELL BACIO DR, HENDERSON, NV 89052-8728
(702) 277-8360
Mailing address
1041 VIA DELL BACIO DR, HENDERSON, NV 89052-8728
(702) 277-8360
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
06/06/2015
Last updated
06/06/2015
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