Organization
THI OF NEVADA AT DESERT VALLEY THERAPY, LLC
Active
Other names
Desert Valley Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WENCLAWIAK (PRESIDENT)
(702) 655-9456
Entity
Organization
Contact information
Practice address
2055 E SAHARA AVE, LAS VEGAS, NV 89104-3829
(702) 735-1501
Mailing address
2055 E SAHARA AVE, LAS VEGAS, NV 89104-3829
(702) 735-1501
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/20/2006
Last updated
03/18/2008
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