Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225400000X | Rehabilitation Practitioner | NV |
NPI | 1003164633 |
---|---|
Provider Name | Debra Y Freeman-Mcdowell |
First Address | Las Vegas, NV 89107 |
Second Address | Las Vegas, NV 89107 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2012 |
Last Update Date | 29/08/2012 |