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Individual

MRS. PAMELA JEAN FOUTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
7375 PRAIRIE FALCON RD STE 120, LAS VEGAS, NV 89128-0810
(702) 869-4401
(702) 869-9904
Mailing address
6625 WEATHER VIEW DR, LAS VEGAS, NV 89110-4012
(702) 336-9407

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-0131
NV

Other

Enumeration date
08/10/2021
Last updated
08/10/2021
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