NPI 1902993983 · live from the CMS NPI Registry
Angelica Aguayo, O.T.
Physical Therapist, Pediatrics in Las Vegas, NV. National Provider Identifier 1902993983, active.
NPI record
| NPI | 1902993983 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist, Pediatrics 2251P0200X |
| Practice location | 7361 Prairie Falcon Rd, 130, Las Vegas, NV 89128 |
| Practice phone | 702-804-1511 |
| Mailing address | 3250 Players Club Pkwy, Memphis, TN 38125 |
| Enumerated | October 9, 2006 |
| Last updated | July 9, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist, Pediatrics primary | 2251P0200X | 0710 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.