Individual
MRS. JANETHE LADISLA REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
500 W AQUA AVE, COEUR D ALENE, ID 83815-7764
(208) 762-1122
(208) 762-1680
Mailing address
500 W AQUA AVE, COEUR D ALENE, ID 83815-7764
(208) 762-1122
(208) 762-1680
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-2328
ID
Other
Enumeration date
05/29/2008
Last updated
05/29/2008
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