Individual
LUIS M REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
655 STRAITS TPKE, WATERTOWN, CT 06795-3369
(860) 782-6069
Mailing address
268 CONGRESS AVE, WATERBURY, CT 06708-3700
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
002166
CT
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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