Individual provider · Type 1 NPI

Precious A. Pettaway

Rehabilitation Practitioner · North Las Vegas, NV

NPI number 1992053037 Active

Practice location

3624 Russian Olive St
North Las Vegas, NV 89032-7643

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 1992053037

Precious A. Pettaway's National Provider Identifier is 1992053037, issued on Aug 21, 2012. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in North Las Vegas, NV. The record was last updated on Aug 21, 2012.