Individual
TRACEY REISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
5473 KEARNY VILLA RD STE 100, SAN DIEGO, CA 92123-1160
(858) 565-6910
(858) 565-6911
Mailing address
5473 KEARNY VILLA RD STE 100, SAN DIEGO, CA 92123-1160
(858) 565-6910
(858) 565-6911
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
306983
CA
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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