Individual
CASEY SUZANN REHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
546 E SANDY LAKE RD STE 110, COPPELL, TX 75019-5787
(972) 393-8067
Mailing address
1915 SANDY LAKE RD # SITE160, CARROLLTON, TX 75006-3401
(740) 461-0692
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
006610
OH
225200000X
Physical Therapy Assistant
Primary
2158678
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA006610
OTPTAT
OH
Enumeration date
06/02/2021
Last updated
06/02/2021
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