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NPI Code Detail

MEDICARE: MS. LURA DEVITO PHYSICAL THERAPIST

MEDICARE: MS. LURA DEVITO 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 Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10929OTHERNVLICENSE #

General Provider Information

NPI Number : 1437268497
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LURA DEVITO PHYSICAL THERAPIST
Provider Business Mailing Address
First Line : 10305 BIRCH BLUFF LN
Second Line :
City : LAS VEGAS
State : NV
Zip : 89145-8830
Country : US
Telephone Number : 702-341-5860
Fax Number :
Provider Business Practice Location Address
First Line : 4955 S DURANGO DR
Second Line : STE 100
City : LAS VEGAS
State : NV
Zip : 89113-0152
Country : US
Telephone Number : 702-254-2300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2006
Last Update Date : 07/08/2007

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Directions to “ MS. LURA DEVITO PHYSICAL THERAPIST” Practice Location

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