Organization
SUMMERLIN PELVIC AND PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHOSHANA IZKHAKOV PT, DPT, OCS (CLINICAL DIRECTOR)
(702) 331-1654
Entity
Organization
Contact information
Practice address
9414 DEL WEBB BLVD, LAS VEGAS, NV 89134-8314
(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
01/17/2019
Last updated
01/17/2019
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