Organization
THERAPY MANAGEMENT GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARNIE LANCZ (PROGRAM MANAGER)
(702) 595-5437
Entity
Organization
Contact information
Practice address
10587 DOUBLE R BLVD STE 101, RENO, NV 89521-8966
(702) 595-5437
Mailing address
8020 W SAHARA AVE STE 160, LAS VEGAS, NV 89117-7917
(702) 595-5437
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043331259
—
NV
Enumeration date
05/08/2013
Last updated
07/02/2024
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