Individual
IAN I CAMAHALAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
5175 JERRY TARKANIAN WAY UNIT 19205, LAS VEGAS, NV 89148-0013
(702) 381-1839
Mailing address
5175 JERRY TARKANIAN WAY UNIT 19205, LAS VEGAS, NV 89148-0013
(702) 727-7738
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
01/15/2022
Last updated
01/15/2022
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