NPI 1023612066
Functional Neuro Rehab, LLC
Practice location
- Address
- 650 Whitney Ranch Dr APT 1511, Henderson, NV 89014-2615
- Phone
- (253) 261-8436
- Mailing address
- 304 S Jones Blvd STE 3511, Las Vegas, NV 89107-2623
Authorised official
- Name
- Shannon Mariah Olivero-Chew
- Title
- Owner
- Phone
- (575) 479-7056
Registered specialties
Rehabilitation Clinic/Center
Primary
Registry record
- NPI
- 1023612066
- Entity type
- Organization
- NPI issued
- 30 Nov 2020
- Record last updated
- 6 Sep 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.