Provider Demographics
NPI:1376822312
Name:REIF, MARLENA S (PT, DPT)
Entity Type:Individual
Prefix:
First Name:MARLENA
Middle Name:S
Last Name:REIF
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 KEOWEE SCHOOL RD UNIT C
Mailing Address - Street 2:
Mailing Address - City:SENECA
Mailing Address - State:SC
Mailing Address - Zip Code:29672-6779
Mailing Address - Country:US
Mailing Address - Phone:864-539-2204
Mailing Address - Fax:855-344-5560
Practice Address - Street 1:114 KEOWEE SCHOOL RD UNIT C
Practice Address - Street 2:
Practice Address - City:SENECA
Practice Address - State:SC
Practice Address - Zip Code:29672-6779
Practice Address - Country:US
Practice Address - Phone:864-539-2204
Practice Address - Fax:855-344-5560
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-09
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6510225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist