Individual
SHIVANGI M BAVISHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3620 E SUNSET RD STE 100, LAS VEGAS, NV 89120-7217
(702) 368-6778
Mailing address
10245 S MARYLAND PKWY UNIT 1199, LAS VEGAS, NV 89183-4058
(317) 332-2482
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4128
NV
Other
Enumeration date
04/07/2020
Last updated
04/07/2020
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