Individual
MR. BRENT DAVID REITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
150 NEW PROVIDENCE ROAD, MOUNTAINSIDE, NJ 07092
(908) 301-5486
Mailing address
40 CEDAR GROVE ROAD, BRANCHBURG, NJ 08876
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
QA009419
NJ
Other
Enumeration date
05/03/2007
Last updated
08/02/2007
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