Individual
JESUS C REGALA III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1250 RIVERSIDE DR, WILMINGTON, DE 19809-2435
(832) 788-5769
Mailing address
14515 WUNDERLICH DR APT 819, HOUSTON, TX 77069-2833
(832) 788-5769
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
021895
NY
225100000X
Physical Therapist
Primary
1144111
TX
225100000X
Physical Therapist
2305205380
VA
225100000X
Physical Therapist
J1-0002484
DE
225100000X
Physical Therapist
PT019993
PA
Other
Enumeration date
02/11/2010
Last updated
07/28/2025
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