Jack Reaume

NPI #1720615248 in Lindale, Texas

Provider Information

NPI Number: 1720615248
Entity Type: Individual
Name: Jack Reaume
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Mar 25, 2020
Last Updated: Mar 25, 2020

Practice Location

Address: 16911 VILLAGE LAKE DR
City: Lindale
State: Texas
ZIP Code: 75771-5065
Phone: (903) 882-7055

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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