Provider Demographics
NPI:1366875643
Name:TULIMERO, GINA MARIA (DPT)
Entity type:Individual
Prefix:MISS
First Name:GINA
Middle Name:MARIA
Last Name:TULIMERO
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4730 BLUE DIAMOND RD STE 150
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89139-7660
Mailing Address - Country:US
Mailing Address - Phone:702-909-6893
Mailing Address - Fax:702-909-5387
Practice Address - Street 1:4730 BLUE DIAMOND RD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89139-7662
Practice Address - Country:US
Practice Address - Phone:702-909-6893
Practice Address - Fax:702-909-5387
Is Sole Proprietor?:No
Enumeration Date:2013-08-09
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV2859225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist