Doctor Name: | ANGEL DAVID DUNCAN REYNA |
NPI Number: | 1255417549 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RPT |
License Number: | PTQA01058400 |
Business Practice Address: | 345 Main St West Orange, NJ - 070525700 |
Business Phone Number: | 9733258388 |
Business Fax Number: | 9733258488 |
Mailing Address: | 41 Benvenue Ave, WEST ORANGE |
State: | NJ |
Postal Code: | 070523216 |
Phone Number: | 8622244927 |
Fax Number: | |
NPI Enumeration Date: | 10/28/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PTQA01058400 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |