Individual
MR. GERALD REYNON URQUICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
6021 W. CHEYENNE AVE, LAS VEGAS, NV 89108
(702) 658-9494
(702) 658-9419
Mailing address
2489 LADOGA DR, LAKELAND, FL 33805-9540
(863) 617-3332
(855) 300-5536
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070014866
IL
225100000X
Physical Therapist
2231
NV
225100000X
Physical Therapist
Primary
PT26708
FL
Other
Enumeration date
11/13/2008
Last updated
07/10/2022
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