Individual
DONNA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1341 S RAINBOW BLVD, STE 201, LAS VEGAS, NV 89146-9069
(702) 363-7720
Mailing address
10657 TURQUOISE VALLEY DR, LAS VEGAS, NV 89144-4110
(702) 233-9248
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1119
LICENSE #
NV
Enumeration date
08/23/2006
Last updated
07/08/2007
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