Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | PT - 1958 | NV |
N | 2251C2600X | Cardiopulmonary | PT - 1958 | NV |
N | 2251E1200X | Ergonomics | PT - 1958 | NV |
N | 225XE1200X | Ergonomics | PT - 1958 | NV |
N | 2251E1300X | Electrophysiology, Clinical | PT - 1958 | NV |
N | 2251G0304X | Physical Therapist - Geriatrics | PT - 1958 | NV |
N | 2251N0400X | Physical Therapist - Neurology | PT - 1958 | NV |
N | 2251P0200X | Physical Therapist - Pediatrics | PT - 1958 | NV |
N | 2251X0800X | Physical Therapist - Orthopedic | PT - 1958 | NV |
NPI | 1689996720 |
---|---|
Provider Name | Shirley Gaw |
First Address | Las Vegas, NV 89117-7942 |
Second Address | Las Vegas, NV 89117-7942 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/02/2010 |
Last Update Date | 31/01/2012 |