Provider Demographics
NPI:1063609022
Name:REICH, CORYN N (CP)
Entity type:Individual
Prefix:
First Name:CORYN
Middle Name:N
Last Name:REICH
Suffix:
Gender:F
Credentials:CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7700 IMPERIAL HWY STE E2
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90242-3466
Mailing Address - Country:US
Mailing Address - Phone:562-803-3322
Mailing Address - Fax:
Practice Address - Street 1:7700 IMPERIAL HWY STE E2
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90242-3466
Practice Address - Country:US
Practice Address - Phone:562-803-3322
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-03
Last Update Date:2007-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist