Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251N0400X | Physical Therapist - Neurology | 024005 | NY |
Y | 2251P0200X | Physical Therapist - Pediatrics | 024005 | NY |
N | 2251X0800X | Physical Therapist - Orthopedic | 024005 | NY |
NPI | 1588817563 |
---|---|
Provider Name | Jane Rochelle Reyes |
First Address | Levittown, NY 11756-1523 |
Second Address | Levittown, NY 11756-1523 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/11/2008 |
Last Update Date | 04/11/2008 |