Organization
SOUTHERN HILLS PELVIC AND PHYSICAL THERAPY PLLC
Active
Other names
Summerlin Pelvic and Physical Therapy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SHOSHANA IZKHAKOV (OWNER, CLINIC DIRECTOR)
(631) 388-8716
Entity
Organization
Contact information
Practice address
5775 S FORT APACHE RD STE 120, LAS VEGAS, NV 89148-5627
(702) 331-1654
Mailing address
9414 DEL WEBB BLVD, LAS VEGAS, NV 89134-8314
(702) 331-1654
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/30/2020
Last updated
01/13/2021
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