Individual
DIANNE PANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
351 N FORT APACHE RD, LAS VEGAS, NV 89149
(702) 515-3000
Mailing address
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222-4628
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3980
NV
Other
Enumeration date
06/05/2019
Last updated
06/05/2019
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