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NPI Code Detail

MEDICARE: PATRICIA LERA PTA

MEDICARE: PATRICIA LERA 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 AssistantA-1290NV

General Provider Information

NPI Number : 1528750783
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA LERA PTA
Provider Business Mailing Address
First Line : 7730 W CHEYENNE AVE STE 105
Second Line :
City : LAS VEGAS
State : NV
Zip : 89129-8411
Country : US
Telephone Number : 702-869-4401
Fax Number :
Provider Business Practice Location Address
First Line : 7730 W CHEYENNE AVE STE 105
Second Line :
City : LAS VEGAS
State : NV
Zip : 89129-8411
Country : US
Telephone Number : 702-869-4401
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2023
Last Update Date : 05/26/2023

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Directions to “ PATRICIA LERA PTA” Practice Location

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