Individual
PAUL DELOS REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
300 KAKEOUT RD, KINNELON, NJ 07405-2548
(844) 777-0910
(201) 560-0712
Mailing address
784 FRANKLIN AVE STE 250, FRANKLIN LAKES, NJ 07417-1306
(844) 777-0910
(201) 560-0712
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00415700
NJ
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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