Individual
SHARA REISEWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1218 KENWICK PL, PASADENA, TX 77504-3164
(713) 820-2031
Mailing address
1218 KENWICK PL, PASADENA, TX 77504-3164
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2072913
TX
Other
Enumeration date
01/23/2012
Last updated
01/23/2012
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