Individual
DEREK D. RONNEBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8751 W CHARLESTON BLVD, #270, LAS VEGAS, NV 89117-5480
(702) 982-2232
(702) 982-2237
Mailing address
8751 W CHARLESTON BLVD, #270, LAS VEGAS, NV 89117-5480
(702) 982-2232
(702) 982-2237
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2838
NV
Other
Enumeration date
06/26/2013
Last updated
06/26/2013
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