Individual
TOM MATTHEW REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
9250 CORKSCREW RD STE 15, ESTERO, FL 33928-3217
(239) 687-3199
Mailing address
9250 CORKSCREW RD STE 15, ESTERO, FL 33928-3217
(239) 687-3199
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
PT23442
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT23442
PHYSICAL THERAPIST
FL
Enumeration date
06/16/2019
Last updated
08/05/2019
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