Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224P00000X | Prosthetist |
NPI | 1063609022 |
---|---|
Provider Name | Coryn N Reich |
First Address | Downey, CA 90242-3466 |
Second Address | Downey, CA 90242-3466 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2007 |
Last Update Date | 03/10/2007 |