Organization
LVC PHYSICAL THERAPY LLC
Active
Other names
LVC Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VIVIAN OWYONG (CREDENTIALING CONTACT)
(702) 235-5778
Entity
Organization
Contact information
Practice address
1050 S RAINBOW BLVD STE 210, LAS VEGAS, NV 89145-6231
(702) 235-5778
Mailing address
3145 SAINT ROSE PKWY STE 250, HENDERSON, NV 89052-3559
(702) 235-5778
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NV20201715707
BUSINESS LICENSE
NV
Enumeration date
04/15/2020
Last updated
04/15/2020
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