Organization
ADVANCED PEDIATRIC THERAPIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN ANN BAKER (OFFICE MANAGER)
(775) 825-4744
Entity
Organization
Contact information
Practice address
1625 E PRATER WAY STE 107, SPARKS, NV 89434-8963
(775) 825-4744
(775) 351-1644
Mailing address
1625 E PRATER WAY STE 107, SPARKS, NV 89434-8963
(775) 825-4744
(775) 351-1644
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7900-C
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100506123
—
NV
Enumeration date
08/28/2018
Last updated
08/28/2018
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