Individual
BEVERLY IVETTE REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
6360 PLANTATION BAY DR N, JACKSONVILLE, FL 32244-5167
(904) 496-4273
Mailing address
6360 PLANTATION BAY DR N, JACKSONVILLE, FL 32244-5167
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
PT31481
FL
225100000X
Physical Therapist
Primary
PT31481
FL
2251N0400X
Neurology Physical Therapist
PT 31481
FL
2251P0200X
Pediatric Physical Therapist
PT31481
FL
Other
Enumeration date
08/09/2016
Last updated
03/13/2023
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