Organization
REHABILITATION MANAGEMENT SPECIALISTS, LLC
Active
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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