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Organization
REVERB PHYSICAL THERAPY PC
Active
Organization
REVERB PHYSICAL THERAPY PC
Active
Other names
Reverb PT PC
Organization subpart
No
Provider details
NPI number
Authorized official
KENNEDY NAGUIT REYES PT (PRESIDENT)
(718) 805-6537
Entity
Organization
Contact information
Practice address
17013 HILLSIDE AVE, JAMAICA, NY 11432-4546
(718) 805-6537
Mailing address
9049 SILVER RD, OZONE PARK, NY 11417-2050
(718) 805-6537
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
023615
NY
Other
Enumeration date
06/11/2007
Last updated
08/10/2007
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