Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225400000X | Rehabilitation Practitioner |
NPI | 1033428727 |
---|---|
Provider Name | Erika A Barbour |
First Address | Las Vegas, NV 89130-3456 |
Second Address | Las Vegas, NV 89130-3456 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2010 |
Last Update Date | 16/03/2015 |