Most Relevant Information
Provider Data
| NPI Number: | 1003689688 |
| Provider Name: | ELIJAH REYES DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/06/2023 |
| Last Updated: | 11/06/2023 |
Provider Practice Location
1922 HACIENDA DR
VISTA
CA
920816024
Practice Location Phone/Fax
| Phone: | 7602954175 |
| Fax: | 7602954176 |
Provider Mailing Location
1650 LYNDON FARM CT STE 300
LOUISVILLE
KY
402235005
Provider Mailing Phone/Fax
| Phone: | 9513359825 |
| Fax: | 8125908333 |