Theresa Mondgock

NPI #1891100145 in Pahrump, Nevada

Provider Information

NPI Number
1891100145
Entity Type
Individual
Name
Theresa Mondgock
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Rehabilitation Practitioner
Enumeration Date
Jun 25, 2014
Last Updated
Jun 25, 2014

Practice Location

Address
2280 E CALVADA BLVD STE 301
State
Nevada
ZIP Code
89048-5877
Phone
(775) 751-5211

Specialties & Taxonomy Codes

Specialty
Rehabilitation Practitioner

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