Doctor Name: | MR. VINCENT DE LUNA |
NPI Number: | 1154649309 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 1860 |
Business Practice Address: | 2701 N Tenaya Way Suite 290 Las Vegas, NV - 891280478 |
Business Phone Number: | 7028694401 |
Business Fax Number: | 7028699904 |
Mailing Address: | 2701 N Tenaya Way, Suite 290 LAS VEGAS |
State: | NV |
Postal Code: | 891280478 |
Phone Number: | 7028694401 |
Fax Number: | 7028699904 |
NPI Enumeration Date: | 05/12/2010 |
NPI Last Update Date: | 05/12/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1860 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NV |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |