Individual
DR. CHRYSTAL JEAN REICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, GCS
Contact information
Practice address
1818 N MEADE ST, APPLETON, WI 54911-3454
(920) 731-4101
Mailing address
PO BOX 2759, APPLETON, WI 54912-2759
(920) 735-7239
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
4728-024
WI
2251G0304X
Geriatric Physical Therapist
Primary
4728-024
WI
Other
Enumeration date
09/04/2007
Last updated
09/11/2007
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