Individual
GAVIN E WATABAYASHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1845 VILLAGE CENTER CIR, LAS VEGAS, NV 89134-6369
(702) 723-9006
(702) 664-0466
Mailing address
1845 VILLAGE CENTER CIR, LAS VEGAS, NV 89134-6369
(702) 723-9006
(702) 664-0466
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6485
NV
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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