Individual
BRYAN REYNON GANITANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2080 E FLAMINGO RD STE 111, LAS VEGAS, NV 89119-5175
(702) 737-8820
Mailing address
1537 SABATINI DR, HENDERSON, NV 89052-4126
(702) 498-1077
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-0788
NV
Other
Enumeration date
05/13/2021
Last updated
05/13/2021
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