Organization
POWERHOUSE PHYSICAL THERAPY LLC
Active
Other names
Powerhouse Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRANDON SCOTT RESASCO (CEO)
(201) 388-7082
Entity
Organization
Contact information
Practice address
3050 E BONANZA RD STE 110D, LAS VEGAS, NV 89101-3706
(201) 388-7082
Mailing address
3050 E BONANZA RD STE 110D, LAS VEGAS, NV 89101-3706
(201) 388-7082
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/28/2020
Last updated
07/28/2020
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