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Individual

MR. EUGENE RYAN REYES LANDINGIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
1616 HAMILTON ST, BELLEVILLE, NJ 07109-5346
(630) 398-1430
(205) 520-0455
Mailing address
1616 HAMILTON ST, BELLEVILLE, NJ 07109-5346
(630) 398-1430
(205) 520-0455

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
008642
CT
225100000X
Physical Therapist
070017123
IL
225100000X
Physical Therapist
Primary
40QA01371300
NJ
225100000X
Physical Therapist
9701978
NY

Other

Enumeration date
12/15/2009
Last updated
01/07/2019
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