Individual
BERNARDO ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5228 KOA AVE, LAS VEGAS, NV 89122-5317
(702) 423-8998
Mailing address
5228 KOA AVE, LAS VEGAS, NV 89122-5317
(702) 423-8998
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
13213002-2401
UT
225100000X
Physical Therapist
24975
MD
225100000X
Physical Therapist
Primary
5072
NV
Other
Enumeration date
05/26/2022
Last updated
06/22/2024
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