MR. Rene Revillas
NPI #1639563737 in Kew Gardens, New York
Provider Information
- NPI Number
- 1639563737
- Entity Type
- Individual
- Name
- MR. Rene Revillas
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Mar 26, 2015
- Last Updated
- Mar 26, 2015
Practice Location
- Address
- 8441 130TH ST
- City
- Kew Gardens
- State
- New York
- ZIP Code
- 11415-2812
- Phone
- (315) 561-1817
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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