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

MR. RENE REVILLAS

Active Sole Proprietor

MR. RENE REVILLAS is a Physical Therapy Assistant healthcare provider located in KEW GARDENS, New York. NPI 1639563737 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · KEW GARDENS, NY

Registration Details

NPI Number
1639563737
Provider Type
Individual
Gender
Male
NPI Issued
Mar 26, 2015 (11.201312168888 yrs)
Last Updated
Mar 26, 2015
Licenses
42048 (CA)
031838 (NY)
3946 (HI)
Sole Proprietor
Yes

Practice Information

Address
8441 130TH ST
KEW GARDENS, NY, 114152812
Browse NY providers · Browse ZIP 11415
Phone
3155611817
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in KEW GARDENS, NY

Name Credential NPI
MR. BOULOS SAMUEL JR. PT 1427044908
EVELYN T BARON PT 1952524720
MR. RONALD YAO CABISUDO PT 1659556652
MISS NATALIE RICHARDSON MPT 1528392792
MR. AYMAN S WASEF PT: DPT 1780951335
DORA JUDITA BETANCOURT-HINCAPIE PT 1336410372
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.