Individual
PHILLIP DIMOTSANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3831 W CHARLESTON BLVD, LAS VEGAS, NV 89102-1859
(702) 876-1733
(702) 878-2018
Mailing address
3831 W CHARLESTON BLVD, LAS VEGAS, NV 89102-1859
(702) 876-1733
(702) 878-2018
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2356
NV
Other
Enumeration date
08/28/2009
Last updated
04/16/2015
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