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NPI Code Detail

MEDICARE: PARAGON OUTPATIENT THERAPY SERVICES

MEDICARE: PARAGON OUTPATIENT THERAPY SERVICES
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
12279P1005XPulmonary Rehabilitation Registered Respiratory Therapist

General Provider Information

NPI Number : 1063647428
Entity Type Code : Organization
Provider Name (Legal Business Name) : PARAGON OUTPATIENT THERAPY SERVICES
Provider Business Mailing Address
First Line : 1655 W HORIZON RIDGE PKWY
Second Line : STE 100
City : HENDERSON
State : NV
Zip : 89012-3494
Country : US
Telephone Number : 702-914-2790
Fax Number : 702-914-5984
Provider Business Practice Location Address
First Line : 7324 W CHEYENNE AVE
Second Line : STE 7
City : LAS VEGAS
State : NV
Zip : 89129-7427
Country : US
Telephone Number : 702-214-6665
Fax Number : 702-214-6865
Authorized Official
Title or Position : OFFICE MANAGER
Name : MS. MEG T CORSINO
Credential :
Telephone Number : 702-214-6665
Provider Enumeration Date : 05/28/2009
Last Update Date : 05/28/2009

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Directions to “PARAGON OUTPATIENT THERAPY SERVICES ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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