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NPI Code Detail

MEDICARE: DEMETRIUS AMORE

MEDICARE:   DEMETRIUS  AMORE
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
1225200000XPhysical Therapy AssistantA-0883NV

General Provider Information

NPI Number : 1487013637
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEMETRIUS AMORE
Provider Business Mailing Address
First Line : 375 N STEPHANIE ST STE 1111
Second Line :
City : HENDERSON
State : NV
Zip : 89014-8904
Country : US
Telephone Number : 702-876-1733
Fax Number :
Provider Business Practice Location Address
First Line : 375 N STEPHANIE ST STE 1111
Second Line :
City : HENDERSON
State : NV
Zip : 89014-8904
Country : US
Telephone Number : 702-876-1733
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2016
Last Update Date : 02/16/2016

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Directions to “ DEMETRIUS AMORE ” Practice Location

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