Individual
DR. AUGUSTO REYNOSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
414 E 41ST ST, PATERSON, NJ 07504-1221
(973) 337-0315
Mailing address
414 E 41ST ST, PATERSON, NJ 07504-1221
(973) 337-0315
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01706700
NJ
2255A2300X
Athletic Trainer
—
ID
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
ID
Other
Enumeration date
11/23/2016
Last updated
02/08/2026
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