Individual
THABSILE I RADEBE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
801 S RANCHO DR, STE F-4, LAS VEGAS, NV 89106-3854
(702) 383-5115
(702) 678-6159
Mailing address
1655 E SAHARA AVE, APT 3125, LAS VEGAS, NV 89104-3417
(702) 672-2127
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1522
NV
Other
Enumeration date
05/19/2006
Last updated
07/08/2007
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