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Organization

MULTI WAVE THERAPY ESWT, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JESSE RHODES (MANAGER)
(407) 679-2522
Entity
Organization

Contact information

Practice address
1936 PARK SHADOWS LN, LAS VEGAS, NV 89134-6661
(407) 679-2522
(407) 679-2922
Mailing address
PO BOX 620574, OVIEDO, FL 32762-0574

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
174400000X
Specialist

Other

Enumeration date
06/17/2010
Last updated
06/17/2010
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