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NPI Code Detail

MEDICARE: MRS. LAURA CERAME PTA

MEDICARE: MRS. LAURA CERAME PTA
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
1225200000XPhysical Therapy Assistant

General Provider Information

NPI Number : 1215163001
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LAURA CERAME PTA
Provider Business Mailing Address
First Line : 8166 BARODO WAY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-5602
Country : US
Telephone Number : 702-629-2096
Fax Number :
Provider Business Practice Location Address
First Line : 1151 S TORREY PINES DR
Second Line : SELECT THERAPIES/SILVER RIDGE HEALTHCARE CENTER
City : LAS VEGAS
State : NV
Zip : 89146-9051
Country : US
Telephone Number : 702-938-8333
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2009
Last Update Date : 08/05/2011

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