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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

REAN J ENRIQUEZ, P.T.

Active Sole Proprietor

REAN J ENRIQUEZ, P.T. is a Physical Therapy Assistant healthcare provider located in ATHENS, New York. NPI 1629132691 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · ATHENS, NY

Registration Details

NPI Number
1629132691
Provider Type
Individual
Gender
Male
NPI Issued
Dec 21, 2006 (19.657463473885 yrs)
Last Updated
Jul 8, 2007
License
018005 (NY)
Sole Proprietor
Yes

Practice Information

Address
12 COVE CT
UNIT 1032
ATHENS, NY, 120153016
Browse NY providers · Browse ZIP 12015
Phone
5184444709
Primary Specialty
Physical Therapy Assistant
225100000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.