# MR. IRA REITER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1386668424
- **Gender:** Man
- **Credential:** PT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 0040241 | NY | Yes |
| 225100000X | Physical Therapist | 40QA01297100 | NJ | — |

## Other

- **Enumeration date:** 07/26/2006
- **Last updated:** 09/15/2016