Pain and Spine Physio Rehab LLC
NPI #1073918371 in St Augustine, Florida
Provider Information
- NPI Number
- 1073918371
- Entity Type
- Organization
- Organization Name
- Pain and Spine Physio Rehab LLC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Oct 29, 2014
- Last Updated
- Mar 24, 2015
Practice Location
- Address
- 100 SOUTHPARK BLVD
- Address 2
- SUITE 408 B
- City
- St Augustine
- State
- Florida
- ZIP Code
- 32086-5189
- Phone
- (518) 407-3422
Authorized Official
- Name
- MR. REGINO IRWIN B REYES, PT
- Title
- AMBR
- Phone
- (518) 407-3422
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation — Rehabilitation |
| Physical Therapist |
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