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Individual

MR. TONY K IWAKAWA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.T.

Contact information

Practice address
2930 W. HORIZON RIDGE PKWY, SUITE 205, HENDERSON, NV 89052
(702) 597-8999
(702) 597-8988
Mailing address
2930 W. HORIZON RIDGE PKWY, SUITE 205, HENDERSON, NV 89052
(702) 597-8999
(702) 597-8988

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1961
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100508311
NV
Enumeration date
09/14/2006
Last updated
07/06/2012
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