Individual provider · Type 1 NPI

Tracey Reisch, PT, DPT

Pediatric Physical Therapist · San Diego, CA

NPI number 1619797412 Active

Practice location

5473 Kearny Villa Rd Ste 100
San Diego, CA 92123-1160

Fax (858) 565-6911

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X306983 (CA)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1619797412

Tracey Reisch, PT, DPT's National Provider Identifier is 1619797412, issued on Oct 15, 2024. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in San Diego, CA. The record was last updated on Oct 15, 2024.