Individual provider · Type 1 NPI

Teresa Bustamante

Rehabilitation Practitioner · Las Vegas, NV

NPI number 1710360623 Active

Practice location

2715 E Russell Rd
Las Vegas, NV 89120-2426

Mailing address

1109 Ferguson Ave
North Las Vegas, NV 89030-1611

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 1710360623

Teresa Bustamante's National Provider Identifier is 1710360623, issued on Jul 9, 2015. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Las Vegas, NV. The record was last updated on Jul 9, 2015.