MEDICARE: MRS. MARIJA GINETTE SAVITT M.A.

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	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1982933719
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARIJA GINETTE SAVITT M.A.

Provider Business Mailing Address
First Line	:	PO BOX 777521
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89077-7521
Country	:	US
Telephone Number	:	702-748-7479
Fax Number	:

Provider Business Practice Location Address
First Line	:	4530 S DECATUR BLVD STE 201A
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-5239
Country	:	US
Telephone Number	:	725-309-0534
Fax Number	:

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

Provider Enumeration Date	:	12/07/2009
Last Update Date	:	01/30/2024

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