Individual
RUSSELL LAWRENCE GOURLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
2650 N TENAYA WAY STE 180, LAS VEGAS, NV 89128-1110
(702) 240-2952
(702) 243-0482
Mailing address
2650 N TENAYA WAY STE 180, LAS VEGAS, NV 89128-1110
(702) 240-2952
(702) 243-0482
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2872
NV
Other
Enumeration date
06/05/2013
Last updated
06/05/2013
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