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NPI Code Detail

MEDICARE: KIMBERLY JANEEN BOZART - DOW

MEDICARE:   KIMBERLY JANEEN BOZART - DOW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist3725NV

General Provider Information

NPI Number : 1083869283
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY JANEEN BOZART - DOW
Provider Business Mailing Address
First Line : 1550 W CRAIG RD STE 210
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89032-0329
Country : US
Telephone Number : 702-360-9142
Fax Number :
Provider Business Practice Location Address
First Line : 1550 W CRAIG RD STE 210
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89032-0329
Country : US
Telephone Number : 702-360-9142
Fax Number : 702-878-2018
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2008
Last Update Date : 04/22/2024

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Directions to “ KIMBERLY JANEEN BOZART - DOW ” Practice Location

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