Individual
MR. JAY JOSEPH ABANDO REYNOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 MILL POND LN APT 115, SALISBURY, MD 21804-2113
(443) 944-0037
(443) 210-2473
Mailing address
701 E NAYLOR MILL RD, UNIT F, SALISBURY, MD 21804-2308
(757) 710-2240
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
009218
CT
225100000X
Physical Therapist
Primary
24491
MD
225100000X
Physical Therapist
J1-0002942
DE
Other
Enumeration date
12/27/2012
Last updated
06/16/2016
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