Individual
MRS. LISA MARIE REICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6685 E 117TH AVE, CROWN POINT, IN 46307-7808
(219) 663-6392
(219) 663-3529
Mailing address
16 MARVIN GDNS, HEBRON, IN 46341-9105
(219) 996-6936
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003618A
IN
Other
Enumeration date
07/22/2008
Last updated
07/22/2008
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