Individual
DIANA BULAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10550 PARK RUN DR, LAS VEGAS, NV 89144-4575
(702) 515-6200
Mailing address
10550 PARK RUN DR, LAS VEGAS, NV 89144-4575
(818) 917-5397
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-0497
NV
Other
Enumeration date
01/18/2015
Last updated
01/18/2015
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