Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. EHRICA D REAKTENWALT
Active Sole ProprietorMRS. EHRICA D REAKTENWALT is a Early Intervention Provider Agency healthcare provider located in MACKINAW, Illinois. NPI 1780979351 is currently active in the NPPES registry. Verify at CMS.
Early Intervention Provider Agency · MACKINAW, IL
Registration Details
- NPI Number
- 1780979351
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 12, 2011 (15.209785676109 yrs)
- Last Updated
- Jun 12, 2011
- Sole Proprietor
- Yes
Practice Information
- Address
-
206 S MAIN STBOX 596MACKINAW, IL, 617557511Browse IL providers · Browse ZIP 61755
- Phone
- 3092581601
- Primary Specialty
-
Early Intervention Provider Agency
252Y00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.