NPI 1104110840
New Light Therapy
Practice location
- Address
- 2869 Esaw St, Minden, NV 89423-9059
- Phone
- (775) 235-8809
- Fax
- (775) 420-4675
- Mailing address
- 1329 Hwy 395 Suite 10-274, Gardnerville, NV 89410
Authorised official
- Name
- Erin Vaillancourt
- Title
- Physical Therapist
- Phone
- (775) 235-8809
Registered specialties (4)
Physical Disabilities Residential Treatment Facility
Primary
Physical Therapist
Occupational Therapist
Speech-Language Pathologist
Registry record
- NPI
- 1104110840
- Entity type
- Organization
- NPI issued
- 28 May 2011
- Record last updated
- 18 Jun 2024
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.