person
Larissa Crystal Brandom
Rehabilitation Practitioner in Las Vegas, Nevada
NPI 1912328519

Larissa Crystal Brandom is a Rehabilitation Practitioner based in Las Vegas, NV. Larissa Crystal Brandom practices in Las Vegas, NV. The NPI Number for Larissa Crystal Brandom is 1912328519 and holds a License No. (Nevada).

The current practice location address for Larissa Crystal Brandom is 6889 S. Eastern Ave, Las Vegas, NV and can be reached out via phone at 702-750-4490.

Location: 6889 S. Eastern Ave, Las Vegas, NV, 89169
person
Provider Profile Details
NPI Number
1912328519
Provider Name
Larissa Crystal Brandom
Credential
Provider Entity Type
Individual
Gender
Female
Address
6889 S. Eastern Ave, Las Vegas, NV, 89169
Phone Number
702-750-4490
Fax Number
Provider Enumeration Date
12/27/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6889 S. Eastern Ave
City
State
Zip
89119
Phone Number
702-750-4490
Fax Number
person
Provider Business Mailing Address Details
Address
6889 S. Eastern Ave
City
State
Zip
89119
Phone Number
702-750-4490
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
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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