NPI 1053759712

William Thomas Church, CADCINTERN

Practitioner Case Manager/Care Coordinator Carson City, NV

Practice location

Address: 205 S Pratt Ave, Carson City, NV 89701-4730
Phone: (775) 882-3945
Fax: (775) 882-6126

Registered specialties (2)

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X Licence 00924-I (NV)

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Rehabilitation Practitioner

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X

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Registry record

NPI: 1053759712
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Jun 2013
Record last updated: 19 Jun 2013

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.