Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251G0304X | Physical Therapist - Geriatrics | 1499 | NV |
N | 2251N0400X | Physical Therapist - Neurology | 1499 | NV |
NPI | 1336266717 |
---|---|
Provider Name | Mr. Garrett James Yoshida |
First Address | Las Vegas, NV 89141-3503 |
Second Address | Las Vegas, NV 89119-4332 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2007 |
Last Update Date | 08/07/2007 |