Great Basin Physical Therapy and Performance Center

NPI #1366769234 in Minden, Nevada

Provider Information

NPI Number
1366769234
Entity Type
Organization
Organization Name
Great Basin Physical Therapy and Performance Center
Primary Specialty
Physical Therapist
Enumeration Date
Apr 30, 2010
Last Updated
Sep 3, 2015

Practice Location

Address
1701 COUNTY RD
Address 2
SUITE B
City
Minden
State
Nevada
ZIP Code
89423-4464
Phone
(775) 782-4466

Authorized Official

Name
ASHWIN T DATT, PT
Title
SOLE MEMBER
Phone
(831) 238-5217

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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