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Individual

DR. DANIEL REIZIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
20 COUNTRY CLUB LN, COLTS NECK, NJ 07722-2222
(908) 670-7573
(855) 678-8887
Mailing address
20 COUNTRY CLUB LN, COLTS NECK, NJ 07722-2222
(908) 670-7573
(855) 678-8887

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
030110
PA
225100000X
Physical Therapist
032533
NY
225100000X
Physical Therapist
13821
CT
225100000X
Physical Therapist
Primary
40QA01350900
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11748355755
INDIVIDUAL NPI
NJ
01
1649561812
GROUP NPI
NJ
Enumeration date
07/12/2010
Last updated
01/30/2023
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