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Individual

LEANNE CARRILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
9975 S EASTERN AVE, SUITE 110, LAS VEGAS, NV 89183-7949
(702) 434-2800
(702) 451-1034
Mailing address
3663 E SUNSET RD, SUITE 503, LAS VEGAS, NV 89120-3218
(702) 434-2800
(702) 451-1034

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2182
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2182
STATE OF NEVADA BOARD OF PHYSICAL THERAPY EXAMINERS
NV
Enumeration date
02/17/2009
Last updated
02/17/2009
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