| NPI | 1659719250 |
|---|---|
| Former Name | MANDI JO REIMERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 60554581) |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: WA 60554581) |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2019-05-31 |