Organization
PRO SPORTS RX LLC
Active
Organization
PRO SPORTS RX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DWIGHT ROSS (MANAGER)
(657) 345-0131
Entity
Organization
Contact information
Practice address
7770 DEAN MARTIN DR STE 305, LAS VEGAS, NV 89139-6603
(657) 345-0131
(714) 378-1150
Mailing address
9121 ATLANTA AVE # 337, HUNTINGTON BEACH, CA 92646-6309
(714) 378-1100
(714) 378-1150
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/04/2023
Last updated
05/04/2023
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