Individual
NATHALIE PORMENTIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T., D.P.T.
Contact information
Practice address
9100 W DESERT INN RD, LAS VEGAS, NV 89117-6323
(702) 472-8505
Mailing address
9231 BLUE AGATE ST, LAS VEGAS, NV 89178-6302
(618) 572-0798
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3718
NV
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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