Organization
RED ROCK NEUROREHABILITATION CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHERINE HANTA WALLISCH M.S., CCC-SLP (CHIEF EXECUTIVE OFFICER)
(702) 355-9862
Entity
Organization
Contact information
Practice address
9260 W SUNSET RD STE 204, LAS VEGAS, NV 89148-4903
(702) 355-9862
Mailing address
10300 W CHARLESTON BLVD STE 549, LAS VEGAS, NV 89135-1037
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
09/21/2020
Last updated
09/22/2020
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