Heidi Anne Reyes Ilan, PT

NPI #1558696245 in Pinole, California

Provider Information

NPI Number: 1558696245
Entity Type: Individual
Name: Heidi Anne Reyes Ilan, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Oct 14, 2009
Last Updated: Oct 14, 2009

Practice Location

Address: 2160 APPIAN WAY STE 101
City: Pinole
State: California
ZIP Code: 94564-2524
Phone: (510) 724-1248

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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