Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | A-0608 | NV |
NPI | 1003171646 |
---|---|
Provider Name | Abby Gene Cates |
First Address | Incline Village, NV 89451-9795 |
Second Address | Carson City, NV 89703-8378 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2012 |
Last Update Date | 10/07/2012 |