Individual
MISS CLARISA ESTER REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
601 GATEWAY BLVD N, CHESTERTON, IN 46304-9658
(219) 921-1401
Mailing address
8259 WICKER AVE, SAINT JOHN, IN 46373-8878
(219) 365-6560
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05005265A
IN
Other
Enumeration date
12/22/2010
Last updated
12/22/2010
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