Organization
PHYSICAL THERAPY VEGAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOMAN SIDDIQUE (MEMBER)
(702) 209-2879
Entity
Organization
Contact information
Practice address
1815 E LAKE MEAD BLVD STE 314, NORTH LAS VEGAS, NV 89030-7193
(702) 209-2879
(702) 202-6273
Mailing address
1815 E LAKE MEAD BLVD STE 314, NORTH LAS VEGAS, NV 89030-7193
(702) 209-2879
(702) 202-6273
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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