Provider Demographics
NPI:1730488768
Name:TORRES, VANESSA A
Entity Type:Individual
Prefix:
First Name:VANESSA
Middle Name:A
Last Name:TORRES
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 1:8855 WEST ARBY AVE
Mailing Address - Street 2:APT: 3051
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148
Mailing Address - Country:US
Mailing Address - Phone:702-785-1436
Mailing Address - Fax:
Practice Address - Street 1:8855 W ARBY AVE
Practice Address - Street 2:APT 3051
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-2201
Practice Address - Country:US
Practice Address - Phone:702-785-1436
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-16
Last Update Date:2011-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner