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NPI Code Detail

MEDICARE: CHRISTINE SLANINKA PHYSICAL THERAPIST

MEDICARE:   CHRISTINE  SLANINKA  PHYSICAL THERAPIST
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 Therapist2613NV

General Provider Information

NPI Number : 1649255712
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE SLANINKA PHYSICAL THERAPIST
Provider Business Mailing Address
First Line : 3835 S JONES BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-7125
Country : US
Telephone Number : 702-880-4193
Fax Number : 702-880-4197
Provider Business Practice Location Address
First Line : 3835 S JONES BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-7125
Country : US
Telephone Number : 702-880-4193
Fax Number : 702-880-4197
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2005
Last Update Date : 12/22/2012

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Directions to “ CHRISTINE SLANINKA PHYSICAL THERAPIST” Practice Location

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