Organization
THERANATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARRISON G DIEP DPT (BUSINESS OWNER)
(702) 513-4247
Entity
Organization
Contact information
Practice address
8910 W TROPICANA AVE STE 6, LAS VEGAS, NV 89147-8131
(702) 829-3435
(888) 498-7689
Mailing address
8910 W TROPICANA AVE STE 6, LAS VEGAS, NV 89147-8131
(702) 829-3435
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
2003398.062-122
NV
Other
Enumeration date
10/20/2017
Last updated
03/17/2018
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