Organization
FIRST PHYSICAL THERAPY LLC
Active
Other names
First Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MEAGAN E GRIMALDO (OWNER)
(702) 916-2777
Entity
Organization
Contact information
Practice address
5785 CENTENNIAL CENTER BLVD STE 220, LAS VEGAS, NV 89149-7111
(702) 916-2777
(702) 916-2778
Mailing address
5785 CENTENNIAL CENTER BLVD STE 220, LAS VEGAS, NV 89149-7111
(702) 916-2777
(702) 916-2778
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007711
NV
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100500008
—
NV
Enumeration date
06/09/2006
Last updated
10/19/2023
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