Individual
LISA REYNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1880 N PERRY ST, STE 100, OTTAWA, OH 45875-1129
(419) 523-9003
Mailing address
1880 N PERRY ST, STE 100, OTTAWA, OH 45875-1129
(419) 523-9003
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT08507
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2251343
—
OH
Enumeration date
07/30/2006
Last updated
07/09/2007
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