| NPI | 1679150593 |
|---|---|
| Former Name | PEYTON ANNE REISCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305214147) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: VA 2305214147) |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2024-09-06 |