Organization
PRESTIGE REHAB OR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL REIZIS PT (MANAGING MEMBER)
(908) 670-7573
Entity
Organization
Contact information
Practice address
5441 S MACADAM AVE STE 4219, PORTLAND, OR 97239-6106
(855) 678-8887
(855) 678-8887
Mailing address
PO BOX 96276, PHOENIX, AZ 85072-6276
(855) 678-8887
(855) 678-8887
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
02/12/2025
Last updated
10/20/2025
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