Individual
ALITA GLORIA REYNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
554 BLOOMFIELD AVE, NEWARK, NJ 07107-1338
(973) 483-2277
(973) 416-6909
Mailing address
41 BENVENUE AVE, WEST ORANGE, NJ 07052-3216
(973) 731-6114
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00987800
NJ
Other
Enumeration date
05/12/2006
Last updated
10/11/2007
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