Provider Demographics
NPI:1427531813
Name:REUL, EMILY JEAN (DPT)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:JEAN
Last Name:REUL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18231 US HIGHWAY 18 STE 3
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92307-2213
Mailing Address - Country:US
Mailing Address - Phone:602-215-0797
Mailing Address - Fax:909-913-4851
Practice Address - Street 1:18231 US HIGHWAY 18 STE 3
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92307-2213
Practice Address - Country:US
Practice Address - Phone:602-215-0797
Practice Address - Fax:909-913-4851
Is Sole Proprietor?:No
Enumeration Date:2018-09-11
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT295584225100000X
FLPT33854225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist