Individual
JOSHUA BACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
10526 RILEY COVE LN, LAS VEGAS, NV 89135-1275
(760) 390-3434
Mailing address
10526 RILEY COVE LN, LAS VEGAS, NV 89135-1275
(760) 390-3434
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3895
NV
Other
Enumeration date
01/14/2019
Last updated
01/14/2019
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