person
Mr. Broderic D Ivery
Rehabilitation Practitioner in North Las Vegas, Nevada
NPI 1972844553

Broderic D Ivery is a Rehabilitation Practitioner based in North Las Vegas, NV. Broderic D Ivery practices in North Las Vegas, NV. The NPI Number for Broderic D Ivery is 1972844553 and holds a License No. (Nevada).

The current practice location address for Broderic D Ivery is 1915 Ona Marie Ave, North Las Vegas, NV and can be reached out via phone at 702-812-4973 and via fax at 702-631-6312.

Location: 1915 Ona Marie Ave, North Las Vegas, NV, 89032-4866
person
Provider Profile Details
NPI Number
1972844553
Provider Name
Broderic D Ivery
Credential
Provider Entity Type
Individual
Gender
Male
Address
1915 Ona Marie Ave, North Las Vegas, NV, 89032-4866
Phone Number
702-812-4973
Fax Number
702-631-6312
Provider Enumeration Date
03/07/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1915 Ona Marie Ave
City
State
Zip
89032-4866
Phone Number
702-812-4973
Fax Number
702-631-6312
person
Provider Business Mailing Address Details
Address
1915 Ona Marie Ave
City
State
Zip
89032-4866
Phone Number
702-812-4973
Fax Number
702-631-6312
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
License No.
(Nevada)
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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