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Organization
ADVANCED PHYSICAL MEDICINE AND REHABILITATION, LLC
Active
Organization
ADVANCED PHYSICAL MEDICINE AND REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL REIZIS PT (MANAGING MEMBER/PHYSICAL THERAPIST)
(732) 894-9200
Entity
Organization
Contact information
Practice address
1719 MAIN ST, SUITE 101, LAKE COMO, NJ 07719-3097
(732) 894-9200
(732) 894-9202
Mailing address
1719 MAIN ST, SUITE 101, LAKE COMO, NJ 07719-3097
(732) 894-9200
(732) 894-9202
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01350900
NJ
Other
Enumeration date
04/22/2011
Last updated
04/25/2016
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