Individual
LIONEL REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
10900 WARNER AVE STE 117, FOUNTAIN VALLEY, CA 92708-3846
(714) 594-3972
Mailing address
22619 ANCHOR AVE, CARSON, CA 90745-4011
(310) 748-8146
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA50231
CA
Other
Enumeration date
12/27/2022
Last updated
12/27/2022
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