Organization
CRESCAT THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN KINCAID OTR/L MOT (OWNER)
(925) 813-2821
Entity
Organization
Contact information
Practice address
4056 AUTUMN ST, LAS VEGAS, NV 89120-1454
(925) 813-2821
Mailing address
4056 AUTUMN ST, LAS VEGAS, NV 89120-1454
(925) 813-2821
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
16-0660
NV
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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