| NPI | 1770225674 |
|---|---|
| Doing Business As | REACH PEDIATRIC REHAB |
| Entity Type | Organization |
| Authorized Contact | KELLY LORAINE DAUER PHAM Owner 571-310-2502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation Pediatric Rehabilitation Medicine |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2022-04-11 |
| Last Update Date | 2024-05-24 |