Individual
DOMINIC BRUZZESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4955 S DURANGO DR, STE 100, LAS VEGAS, NV 89113-0152
(702) 254-2300
Mailing address
6615 W TROPICANA AVE, STE 101, LAS VEGAS, NV 89103-4782
(702) 362-6282
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A-0371
LICENSE #
NV
Enumeration date
08/30/2006
Last updated
07/08/2007
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