Organization
REHABILITATION MANAGEMENT SPECIALISTS, LLC
Active
Other names
ACTIVE LIFE
Organization subpart
No
Provider details
NPI number
Authorized official
DANNIELL JESUS REYES CCSP, DACRB, CIRS (DIRECTOR)
(610) 349-6679
Entity
Organization
Contact information
Practice address
2207 VALLEY VIEW DR S, SAYLORSBURG, PA 18353
(610) 349-6679
Mailing address
2207 VALLEY VIEW DR S, SAYLORSBURG, PA 18353-8361
(610) 349-6679
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
DC006207-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007957156
AETNA
PA
01
—
01877901
ASHN
PA
01
—
0265170000
KHPE
PA
01
—
1445656
BSBC
PA
01
—
3000378
KHPC
PA
01
—
506314
AMERIHEALTH ADMIN.
PA
Enumeration date
05/15/2007
Last updated
05/15/2018
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