Individual
MS. KRISTEN MARIE REIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1000 VETERAN AVE, LOS ANGELES, CA 90024-2704
(310) 319-1234
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PT30112
CA
Other
Enumeration date
03/23/2021
Last updated
07/27/2021
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