Individual
ELLIS REIBSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3820 CRESTWOOD LN, IDAHO FALLS, ID 83404-4979
(208) 996-2692
Mailing address
686 SUMMIT AVE, PHILADELPHIA, PA 19128-2318
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/20/2026
Last updated
05/20/2026
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