Individual
BRENDA DEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2411 W HORIZON RIDGE PKWY STE 100, HENDERSON, NV 89052-5780
(702) 458-1300
Mailing address
9962 ROCKSIDE AVE, LAS VEGAS, NV 89148-4701
(801) 244-5605
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3752
NV
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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