Individual
MRS. IMEE R. DE LOS REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
300 WINDY HILL DR, LAFAYETTE, IN 47905-2862
(765) 477-7791
(765) 474-2986
Mailing address
300 WINDY HILL DR, LAFAYETTE, IN 47905-2862
(765) 477-7791
(765) 474-2986
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05003921A
IN
Other
Enumeration date
11/15/2008
Last updated
11/15/2008
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