Individual
MRS. BERNADETTE C GERVASI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
68 N PECOS RD, SUITE B, HENDERSON, NV 89074-7339
(702) 990-4123
(702) 990-4125
Mailing address
68 N PECOS RD, B, HENDERSON, NV 89074-7345
(702) 990-4123
(702) 990-4125
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0811
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003402119
—
NV
Enumeration date
06/14/2006
Last updated
01/26/2010
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