Individual
MICHAEL REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1517 KNICKERBOCKER DR, STOCKTON, CA 95210-3119
(209) 957-4539
Mailing address
1517 KNICKERBOCKER DR, STOCKTON, CA 95210-3119
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
06/18/2008
Last updated
06/18/2008
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