Individual
VICTORINO FUA REYES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT/DPT
Contact information
Practice address
210 E GRAY ST STE 807, LOUISVILLE, KY 40202-3927
(502) 587-9350
(502) 587-9351
Mailing address
6614 DORIS CT, SELLERSBURG, IN 47172-9153
(812) 246-1506
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003696
KY
225100000X
Physical Therapist
05004458A
IN
Other
Enumeration date
06/08/2006
Last updated
12/01/2009
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