Individual provider · Type 1 NPI

Kristen Jewell Eileen Divich

Rehabilitation Practitioner · Las Vegas, NV

NPI number 1124388145 Active

Practice location

7381 Prairie Falcon Rd
Las Vegas, NV 89128-0811

Call (702) 646-5437 Map

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: 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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About NPI 1124388145

Kristen Jewell Eileen Divich's National Provider Identifier is 1124388145, issued on May 23, 2012. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Las Vegas, NV. The record was last updated on May 23, 2012.