Organization
EVOLVE PELVIC PT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPHINE RAZON PT, DPT (PHYSICAL THERAPIST)
(702) 376-1731
Entity
Organization
Contact information
Practice address
1013 AMBROSIA DR, LAS VEGAS, NV 89138-8000
(702) 376-1731
Mailing address
1013 AMBROSIA DR, LAS VEGAS, NV 89138-8000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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