Organization
DIRECTPT, LLC
Active
Other names
DirectPT Pain and Balance
Organization subpart
No
Provider details
NPI number
Authorized official
HARRISON DIEP DPT (CEO)
(844) 900-9669
Entity
Organization
Contact information
Practice address
8910 W TROPICANA AVE, SUITE 6, LAS VEGAS, NV 89147-8131
(844) 900-9669
Mailing address
8910 W TROPICANA AVE, SUITE 6, LAS VEGAS, NV 89147-8131
(844) 900-9669
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
NV
225X00000X
Occupational Therapist
—
NV
261QP2000X
Physical Therapy Clinic/Center
Primary
NV20161319331
NV
Other
Enumeration date
06/11/2016
Last updated
10/12/2016
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