Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GENE CASAMERA REAVIS III, CO
Active Sole ProprietorGENE CASAMERA REAVIS III, CO is a Prosthetic/Orthotic Supplier healthcare provider located in PHILA, Pennsylvania. NPI 1659150696 is currently active in the NPPES registry. Verify at CMS.
Prosthetic/Orthotic Supplier · PHILA, PA
Registration Details
- NPI Number
- 1659150696
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 28, 2023 (2.899572179378 yrs)
- Last Updated
- Sep 28, 2023
- License
-
CO264177 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
901 S 55TH ST UNIT A2PHILA, PA, 191434005Browse PA providers · Browse ZIP 19143
- Phone
- 2154744767
- Primary Specialty
-
Prosthetic/Orthotic Supplier
335E00000X
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.