Individual
VINCENT BACALSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6351 N FORT APACHE RD, LAS VEGAS, NV 89149-2300
(702) 515-2704
Mailing address
6565 CHINATOWN ST, LAS VEGAS, NV 89166-8030
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-0351
NV
Other
Enumeration date
05/09/2018
Last updated
05/09/2018
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