Individual
BENJAMIN REICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11234-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11234
PHYSICAL THERAPY LICENSE
WI
Enumeration date
08/11/2009
Last updated
12/01/2021
Update your record
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