Individual
MS. LURA DEVITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
4955 S DURANGO DR, STE 100, LAS VEGAS, NV 89113-0152
(702) 254-2300
Mailing address
10305 BIRCH BLUFF LN, LAS VEGAS, NV 89145-8830
(702) 341-5860
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0929
LICENSE #
NV
Enumeration date
08/30/2006
Last updated
07/08/2007
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