Individual
EDUARDO T REYES III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1550 LEMOINE AVE STE 101, FORT LEE, NJ 07024-5608
(201) 647-6871
Mailing address
352 W CLINTON AVE, BERGENFIELD, NJ 07621-1903
(201) 647-6871
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00406400
NJ
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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