Individual
DR. GREGORY MANUEL AMAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1550 W CRAIG RD STE 210, NORTH LAS VEGAS, NV 89032-0327
(702) 360-9142
Mailing address
4255 TAMARUS ST APT 244, LAS VEGAS, NV 89119-5712
(760) 238-1860
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4012
NV
Other
Enumeration date
06/06/2019
Last updated
06/06/2019
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