Individual
MANUEL TERENCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3450 N BUFFALO DR, LAS VEGAS, NV 89129-7424
(702) 952-2273
Mailing address
3413 PETTICOAT ST, LAS VEGAS, NV 89129-7234
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-0970
NV
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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