Gervasi, Bernadette C

Gervasi, Bernadette C is an individual health care provider with primary practice located at 68 N Pecos Rd Suite B, Henderson NV 89074-7339. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Gervasi, Bernadette C can be contacted via phone (702) 990-4123.

Contact Information

Primary practice address
68 N Pecos Rd Suite B Henderson NV 89074-7339
Phone: (702) 990-4123
Fax: (702) 990-4125
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 0811 Nevada

Profile Details

NPI number 1164465431
LBN Legal business name Gervasi, Bernadette C
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jan 26th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164465431 NPPES
Nevada MEDICAID 003402119

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