Individual
JOEL VIDANA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, OCS, MTC
Contact information
Practice address
653 N TOWN CENTER DR, 110, LAS VEGAS, NV 89144-0514
(702) 233-7470
Mailing address
8153 WHITE MILL CT, LAS VEGAS, NV 89131-1457
(702) 878-7678
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1420
NV
Other
Enumeration date
06/13/2007
Last updated
07/08/2007
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