Provider Demographics
NPI:1275829863
Name:VIOLA, ANN MARIE
Entity Type:Individual
Prefix:MRS
First Name:ANN MARIE
Middle Name:
Last Name:VIOLA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7375 EL PARQUE AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-2026
Mailing Address - Country:US
Mailing Address - Phone:702-339-9567
Mailing Address - Fax:702-799-1276
Practice Address - Street 1:7375 EL PARQUE AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-2026
Practice Address - Country:US
Practice Address - Phone:702-339-9567
Practice Address - Fax:702-799-1276
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-22
Last Update Date:2011-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner