Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 4206 | NV |
NPI | 1356967939 |
---|---|
Provider Name | Salvatore A Biundo |
First Address | Las Vegas, NV 89102-1991 |
Second Address | Las Vegas, NV 89121 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2020 |
Last Update Date | 09/07/2020 |