Individual
MR. JERSEY-ROY REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4320 FOREST HILL DR, FAIRFAX, VA 22030-5766
(703) 667-9800
Mailing address
14563 GOLDEN OAK RD, CENTREVILLE, VA 20121-2261
(202) 413-5984
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306603473
VA
Other
Enumeration date
02/28/2013
Last updated
02/28/2013
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