Andrea Avruskin, PT | |
600 S Tonopah Dr, Las Vegas, NV 89106-4025 | |
(702) 380-0671 | |
Not Available |
Full Name | Andrea Avruskin |
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Gender | Female |
Speciality | Physical Therapist |
Location | 600 S Tonopah Dr, Las Vegas, Nevada |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568621092 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1223NV (Nevada) | Primary |
2255A2300X | Specialist/technologist - Athletic Trainer | 0506088 (Nevada) | Secondary |
Provider Name | Daniel M Antonino Prof Corp |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1306030622 PECOS PAC ID: 8325031172 Enrollment ID: O20040406001846 |
Mailing Address | Practice Location Address |
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Andrea Avruskin, PT 600 S Tonopah Dr, Las Vegas, NV 89106-4025 Ph: (702) 380-0671 | Andrea Avruskin, PT 600 S Tonopah Dr, Las Vegas, NV 89106-4025 Ph: (702) 380-0671 |
Ceferino Villafuerte, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2029 Winter Wind St, Las Vegas, NV 89134 Phone: 702-869-6714 | |
Kelsey Zane Daniels, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6345 S Jones Blvd Ste 300, Las Vegas, NV 89118 Phone: 702-515-4009 | |
Dr. Erin Longhurst, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2650 N Tenaya Way, Suite 180, Las Vegas, NV 89128 Phone: 702-240-2952 | |
Mr. Gladstone George, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2832 S Maryland Pkwy, Las Vegas, NV 89109 Phone: 702-735-5848 Fax: 702-735-6218 | |
Chanha Hwang, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8174 Las Vegas Blvd S Ste 109-150, Las Vegas, NV 89123 Phone: 702-883-9528 Fax: 702-852-5715 |