Individual
JESSICA LACTAOTAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
400 N STEPHANIE ST STE 310, HENDERSON, NV 89014-6608
(702) 454-1162
Mailing address
400 N STEPHANIE ST STE 310, HENDERSON, NV 89014-6608
(702) 454-1162
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6644
NV
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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