Individual
MONICA NELLIE HOULTRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8675 W ROME BLVD STE 140, LAS VEGAS, NV 89149-1291
(725) 206-7929
Mailing address
262 CULLERTON ST, LAS VEGAS, NV 89148-5155
(928) 234-1170
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-1605
NV
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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