Individual
SCOTT PORTUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10659 MARBLE ARCH ST, LAS VEGAS, NV 89166-6561
(720) 840-4134
Mailing address
4285 N RANCHO DR STE 160, LAS VEGAS, NV 89130-3456
(702) 685-3459
(702) 851-8528
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
07/18/2018
Last updated
07/18/2018
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