Ayddin Reisi, DPT

NPI #1104186154 in Peoria, Illinois

Provider Information

NPI Number: 1104186154
Entity Type: Individual
Name: Ayddin Reisi, DPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: May 24, 2012
Last Updated: May 24, 2012

Practice Location

Address: 7500 N PICCADILLY PL
City: Peoria
State: Illinois
ZIP Code: 61614-1640
Phone: (309) 683-0544

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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