NPI 1073182002 · live from the CMS NPI Registry
Divya Abraham, DPT
Physical Therapist in Henderson, NV. National Provider Identifier 1073182002, active.
NPI record
| NPI | 1073182002 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 2651 Paseo Verde Pkwy Ste 170, Henderson, NV 89074 |
| Practice phone | 702-312-4878 |
| Enumerated | June 23, 2021 |
| Last updated | November 9, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist | 225100000X | 1294650 (TX) |
| Physical Therapist primary | 225100000X | 5194 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.