Individual
JOSEPH TANAQUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4016 SEA HERO ST, LAS VEGAS, NV 89129-4401
(702) 596-4241
Mailing address
4016 SEA HERO ST, LAS VEGAS, NV 89129-4401
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1691
NV
Other
Enumeration date
12/15/2023
Last updated
12/15/2023
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