Individual provider · Type 1 NPI

Anthony Jacob Baca Jr.

Rehabilitation Practitioner · Las Vegas, NV

NPI number 1720398159 Active

Practice location

5105 Smoke Ranch Rd
Las Vegas, NV 89108-3536

Call (702) 638-0395 Map

Fax (702) 638-0362

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 1720398159

Anthony Jacob Baca Jr.'s National Provider Identifier is 1720398159, issued on Oct 19, 2010. 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 19, 2010.