Individual
LADONNA I DEL ROSARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1020 S BOULDER HWY, HENDERSON, NV 89015-8533
(702) 856-1681
Mailing address
7122 HALDIR AVE, LAS VEGAS, NV 89178-8814
(847) 219-6197
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070014260
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BCBS OF IL
1619980
IL
Enumeration date
04/22/2008
Last updated
07/18/2024
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