Individual
TRAVIS L REITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
400 STATE RT 17 STE 1, RIDGEWOOD, NJ 07450-2013
(201) 445-8600
(201) 445-8610
Mailing address
22 DALE AVE, WYCKOFF, NJ 07481-3317
(785) 633-9589
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
032107
NY
2251X0800X
Orthopedic Physical Therapist
Primary
40QA01343300
NJ
Other
Enumeration date
05/24/2012
Last updated
06/07/2023
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