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NPI Code Detail

MEDICARE: MARIA KATRINA TILLADA DIMAPILIS

MEDICARE: MARIA KATRINA TILLADA DIMAPILIS
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 Therapist

General Provider Information

NPI Number : 1083545628
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA KATRINA TILLADA DIMAPILIS
Provider Business Mailing Address
First Line : 9230 STERLING HILL AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-4931
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9300 W SUNSET RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-4844
Country : US
Telephone Number : 702-916-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2026
Last Update Date : 05/25/2026

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Directions to “ MARIA KATRINA TILLADA DIMAPILIS ” Practice Location

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