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Shane Wilson
Rehabilitation Practitioner in Sparks, Nevada
NPI 1245548239

Shane Wilson is a Rehabilitation Practitioner based in Sparks, NV. Shane Wilson practices in Sparks, NV. The NPI Number for Shane Wilson is 1245548239 and holds a License No. (Nevada).

The current practice location address for Shane Wilson is 741 Rancho Via Dr, Sparks, NV and can be reached out via phone at 775-223-9040 and via fax at 775-453-1502.

Location: 741 Rancho Via Dr, Sparks, NV, 89434-4051
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245548239
Provider Name
Shane Wilson
Credential
Provider Entity Type
Individual
Gender
Male
Address
741 Rancho Via Dr, Sparks, NV, 89434-4051
Phone Number
775-223-9040
Fax Number
775-453-1502
Provider Enumeration Date
09/23/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
741 Rancho Via Dr
City
Sparks
State
Nevada
Zip
89434-4051
Phone Number
775-223-9040
Fax Number
775-453-1502
person
Provider Business Mailing Address Details
Address
741 Rancho Via Dr
City
Sparks
State
Nevada
Zip
89434-4051
Phone Number
775-223-9040
Fax Number
775-453-1502
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
()
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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