MEDICARE: MYLYNN CUEVAS LIM PT

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
1	225100000X	Physical Therapist	1782	NV

General Provider Information

NPI Number	:	1336340942
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MYLYNN CUEVAS LIM PT

Provider Business Mailing Address
First Line	:	7127 LOS BANDEROS AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89179-1207
Country	:	US
Telephone Number	:	702-769-2382
Fax Number	:	702-361-6348

Provider Business Practice Location Address
First Line	:	7127 LOS BANDEROS AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89179-1207
Country	:	US
Telephone Number	:	702-769-2382
Fax Number	:	702-361-6348

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/30/2007
Last Update Date	:	07/08/2007

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Directions to “ MYLYNN CUEVAS LIM PT” Practice Location

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