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NPI Code Detail

MEDICARE: RENO PHYSICAL THERAPY INC

MEDICARE: RENO PHYSICAL THERAPY INC
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 Therapist0016, 0441,1242,1523NV

General Provider Information

NPI Number : 1538151535
Entity Type Code : Organization
Provider Name (Legal Business Name) : RENO PHYSICAL THERAPY INC
Provider Business Mailing Address
First Line : PO BOX 511
Second Line :
City : FERNLEY
State : NV
Zip : 89408-0511
Country : US
Telephone Number : 775-575-5508
Fax Number : 775-575-6655
Provider Business Practice Location Address
First Line : 20 N WEST ST
Second Line :
City : FERNLEY
State : NV
Zip : 89408-9799
Country : US
Telephone Number : 775-575-5508
Fax Number : 775-575-6655
Authorized Official
Title or Position : PRESIDENT
Name : MRS. BRIDGETTE LESAR
Credential : PT
Telephone Number : 775-575-5508
Provider Enumeration Date : 08/17/2005
Last Update Date : 03/25/2016

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Directions to “RENO PHYSICAL THERAPY INC ” Practice Location

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