Individual
BRODERICK A BRASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
6440 MEDICAL CENTER ST STE 100, LAS VEGAS, NV 89148-2404
(702) 222-1000
(702) 222-9448
Mailing address
6440 MEDICAL CENTER ST STE 100, LAS VEGAS, NV 89148-2404
(702) 222-1000
(702) 222-9448
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3777
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3777
NV STATE LICENSE
NV
Enumeration date
08/15/2018
Last updated
08/15/2018
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