Individual provider · Type 1 NPI
Cordell Destrey Harris
Rehabilitation Practitioner · Las Vegas, NV
NPI number
1285277145
Active
Practice location
4170 S Decatur Blvd Ste D9
Las Vegas, NV 89103-6815
Fax (866) 284-1860
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rehabilitation Practitioner Primary | 225400000X | None 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.
2 other providers at this address
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About NPI 1285277145
Cordell Destrey Harris's National Provider Identifier is 1285277145, issued on Oct 23, 2019. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Las Vegas, NV. The record was last updated on Oct 23, 2019.