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Individual

DR. RAYMOND JOHN MELLINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
7250 PEAK DRIVE, SUITE 118, LAS VEGAS, NV 89128
(702) 893-3333
(702) 839-0095
Mailing address
7250 PEAK DRIVE, SUITE 118, LAS VEGAS, NV 89128
(702) 893-3333
(702) 839-0095

Taxonomy

Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
4143
NV
2251X0800X
Orthopedic Physical Therapist
Primary
4143
NV

Other

Enumeration date
11/08/2019
Last updated
07/13/2022
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