Individual
WILLIAM ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4215 S. GRAND CANYON DR., SUITE 101, LAS VEGAS, NV 89147-7173
(702) 448-6042
(702) 430-8970
Mailing address
4215 S. GRAND CANYON DR., SUITE 101, LAS VEGAS, NV 89147-7173
(702) 448-6042
(702) 430-8970
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1361
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1368
NEVADA LICENSE
NV
Enumeration date
02/03/2009
Last updated
03/30/2017
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