Most Relevant Information
Provider Data
| NPI Number: | 1003806597 |
| Provider Name: | ERIC ANTHONY VIAL MS,PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT14879 |
Most Important Dates
| Enumeration Date: | 10/26/2005 |
| Last Updated: | 04/19/2022 |
Provider Practice Location
1525 E WINDMILL LN STE 202
LAS VEGAS
NV
891231903
Practice Location Phone/Fax
| Phone: | 7022021280 |
| Fax: | 7023618596 |
Provider Mailing Location
515 ASH ST
SUSANVILLE
CA
961303711
Provider Mailing Phone/Fax
| Phone: | 5302577711 |
| Fax: | 5302572170 |