Provider First Line Business Practice Location Address:
2375 E PRATER WAY
Provider Second Line Business Practice Location Address:
DEPARTMENT OF INPATIENT REHABILITATION
Provider Business Practice Location Address City Name:
SPARKS
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89434-9665
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
775-356-4934
Provider Business Practice Location Address Fax Number:
775-356-4955
Provider Enumeration Date:
09/04/2009