Individual
JASPER S. DELOS REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8635 QUEENS BLVD APT 7T, ELMHURST, NY 11373-4409
(347) 399-3705
Mailing address
8635 QUEENS BLVD APT 7T, ELMHURST, NY 11373-4409
(347) 399-3705
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
019794
NY
Other
Enumeration date
02/02/2022
Last updated
02/02/2022
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