Organization
MY LEFT FOOT CHILDREN'S THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JON GOTTLIEB (OWNER)
(702) 360-1137
Entity
Organization
Contact information
Practice address
2012 S. JONES BLVD, LAS VEGAS, NV 89146
(702) 360-1137
(702) 341-1511
Mailing address
3395 S. JONES BLVD, #363, LAS VEGAS, NV 89146
(702) 360-1137
(702) 341-1511
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100505292
—
NV
Enumeration date
12/27/2006
Last updated
04/28/2015
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