Doctor Name: | MR. CALVIN L WANG |
NPI Number: | 1457477754 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MPT |
License Number: | 1603 |
Business Practice Address: | 2779 W. Horizon Ridge Pkwy #100 Henderson, NV - 891482404 |
Business Phone Number: | 7028971222 |
Business Fax Number: | 7028971252 |
Mailing Address: | 6440 Medical Center St, #100 LAS VEGAS |
State: | NV |
Postal Code: | 891482404 |
Phone Number: | 7022221000 |
Fax Number: | 7022229448 |
NPI Enumeration Date: | 03/21/2007 |
NPI Last Update Date: | 05/18/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1603 |
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 |