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Individual

MR. LARRY DAVID REIB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
C.O.

Contact information

Practice address
4811 CHIPPENDALE DRIVE, SUITE 208, SACRAMENTO, CA 95841-2251
(916) 595-1310
(916) 344-8045
Mailing address
4811 CHIPPENDALE DRIVE, SUITE 208, SACRAMENTO, CA 95841-2251
(916) 595-1310
(916) 344-8045

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
CO001506

Other

Enumeration date
12/16/2020
Last updated
12/16/2020
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