Magdalen Antoinette Wallace PTA

NPI 1609036672 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1609036672
Gender Female
Enumeration Date 06/13/2008
Last Updated 11/02/2015
Entity Type Individual
Active Over 8 years ago
Practice Location
7140 SMOKE RANCH RD STE 150
LAS VEGAS NV, 89128-3157, US
Phone (702) 839-4839
Fax
Business Location
7140 SMOKE RANCH RD STE 150
LAS VEGAS NV, 89128-3157, US
Phone (702) 839-4839
Fax (971) 206-5209
Toxanomy
Taxonomy Code 225200000X
License State Nevada
License Number A0447
Remove 1609036672 NPI Number
 

According to our database, Magdalen Antoinette Wallace PTA NPI is 1609036672, taxonomy code is 225200000X and license number is A0447, license state is located at Nevada. Magdalen Antoinette Wallace PTA physically located at 7140 Smoke Ranch Rd Ste 150, Las Vegas NV, 89128-3157. NPI Number Magdalen Antoinette Wallace PTA has the Individual type.

Sponsored links

1609036672 NPI number is provided on an as is basis without warranty of any kind. 1609036672 is maintained by the National Plan & Provider Enumeration System. The contents of Magdalen Antoinette Wallace PTA are for informational purposes only.