Organization
ADVANCED PHYSICAL MEDICINE AND REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL REIZIS PT (MANAGING MEMBER/PHYSICAL THERAPIST)
(732) 894-9200
Entity
Organization
Contact information
Practice address
1719 MAIN ST, SUITE 101, LAKE COMO, NJ 07719-3097
(732) 894-9200
(732) 894-9202
Mailing address
1719 MAIN ST, SUITE 101, LAKE COMO, NJ 07719-3097
(732) 894-9200
(732) 894-9202
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01350900
NJ
Other
Enumeration date
04/22/2011
Last updated
04/25/2016
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