Organization
ADVANCED PEDIATRIC THERAPIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE BEMUS ORTIZ M.S. CCC SLP (OWNER DIRECTOR)
(775) 825-4744
Entity
Organization
Contact information
Practice address
1625 E PRATER WAY STE 107, SPARKS, NV 89434-8963
(775) 825-4744
(775) 351-1644
Mailing address
1025 ROBERTA LN, SPARKS, NV 89431-1893
(775) 825-4744
(775) 351-1644
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 672
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100506123
—
NV
01
—
668131
BCBS
NV
Enumeration date
11/09/2006
Last updated
06/06/2024
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