Bronston Abad, PT, DPT | |
8740 W Charleston Blvd Ste 12, Las Vegas, NV 89117-5458 | |
(725) 257-6560 | |
Not Available |
Full Name | Bronston Abad |
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Gender | Male |
Speciality | Physical Therapist |
Location | 8740 W Charleston Blvd Ste 12, Las Vegas, Nevada |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992579783 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 6317 (Nevada) | Primary |
Provider Name | Dignity Select Nevada Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1710446281 PECOS PAC ID: 0941541155 Enrollment ID: O20190610002405 |
Mailing Address | Practice Location Address |
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Bronston Abad, PT, DPT 11700 W Charleston Blvd # 170-260, Las Vegas, NV 89135-1573 Ph: () - | Bronston Abad, PT, DPT 8740 W Charleston Blvd Ste 12, Las Vegas, NV 89117-5458 Ph: (725) 257-6560 |
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