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Individual

KRISTOFFER CAPALAD PLAZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA, CLT

Contact information

Practice address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9000
Mailing address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9000

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-0795
NV

Other

Enumeration date
08/16/2023
Last updated
08/16/2023
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