Individual provider · Type 1 NPI

Larissa Crystal Brandom

Rehabilitation Practitioner · Las Vegas, NV

NPI number 1912328519 Active

Practice location

6889 S. Eastern Ave
Las Vegas, NV 89119

Call (702) 750-4490 Map

Mailing address

1001 Dumont Blvd Apt 166
Las Vegas, NV 89169

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 1912328519

Larissa Crystal Brandom's National Provider Identifier is 1912328519, issued on Dec 27, 2013. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Las Vegas, NV. The record was last updated on Dec 27, 2013.