Individual
GLORY REICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
24008 BELLEAU AVE, STAFFORD, VA 22556
(703) 326-6396
Mailing address
2264 YORK DR APT 411, WOODBRIDGE, VA 22191-5720
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
12329
TN
225100000X
Physical Therapist
Primary
2020009813
MO
225100000X
Physical Therapist
PTH9387
AL
Other
Enumeration date
06/14/2019
Last updated
03/27/2025
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