Individual
SALVATORE MAZZARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1302 W CRAIG RD STE B, N LAS VEGAS, NV 89032-0246
(702) 360-9142
Mailing address
801 STILLWATER LN, HENDERSON, NV 89014-3001
(702) 617-9759
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1492
LICENSE #
NV
Enumeration date
08/30/2006
Last updated
07/08/2007
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