Individual
CORAL REANN REBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5209 NW KENDALL DR, TOPEKA, KS 66618-1253
(785) 438-7065
Mailing address
5209 NW KENDALL DR, TOPEKA, KS 66618-1253
(785) 438-7065
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-03714
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14-03714
MEDICARE
KS
Enumeration date
08/20/2020
Last updated
02/17/2022
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