Individual
REBECCA L PRIVITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4765 S DURANGO DR, SUITE #106, LAS VEGAS, NV 89147-8145
(702) 898-7633
(927) 881-9519
Mailing address
8561 W FISHER AVE, LAS VEGAS, NV 89149-4057
(702) 545-0265
(928) 771-9519
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2039
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
783292
—
AZ
Enumeration date
01/17/2006
Last updated
07/08/2007
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