Organization
SOAR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HAMED EMAMZADEH J.D. (MANAGING MEMBER)
(702) 812-9312
Entity
Organization
Contact information
Practice address
6771 W CHARLESTON BLVD STE C, LAS VEGAS, NV 89146-9016
(702) 812-9312
Mailing address
6771 W CHARLESTON BLVD STE C, LAS VEGAS, NV 89146-9016
(702) 812-9312
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/14/2021
Last updated
10/21/2021
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