| Doctor Name: | MS. MARIA CONCEPCION REYES TABBERRAH |
| NPI Number: | 1407179658 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RPT |
| License Number: | 070017498 |
| Business Practice Address: | 214 W. 5th St. Gmm Pro-care Providers, Inc. Joplin, MO - 64801 |
| Business Phone Number: | 4177822917 |
| Business Fax Number: | 4177827038 |
| Mailing Address: | 2001 Connecticut St., Apartment D3 JOPLIN |
| State: | MO |
| Postal Code: | 64804 |
| Phone Number: | 4177822917 |
| Fax Number: | 4177827038 |
| NPI Enumeration Date: | 03/02/2010 |
| NPI Last Update Date: | 03/02/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 070017498 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |