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Organization
REACTIVE PHYSICAL THERAPY & REHAB PC
Active
Organization
REACTIVE PHYSICAL THERAPY & REHAB PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROLAND CASINO PAQUEO DPT (PRESIDENT/PHYSICAL THERAPY PROVIDER)
(646) 431-3097
Entity
Organization
Contact information
Practice address
7053 CASTOR AVE, PHILADELPHIA, PA 19149-1712
(646) 431-3097
(718) 770-7681
Mailing address
7053 CASTOR AVE, PHILADELPHIA, PA 19149-1712
(646) 431-3097
(718) 770-7681
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/09/2021
Last updated
09/17/2021
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