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Antonio Reyes JR.
Orthotic Fitter in Inglewood, California
NPI 1740759083

Antonio Reyes JR. is a Orthotic Fitter based in Inglewood, CA. Antonio Reyes JR. practices in Inglewood, CA. The NPI Number for Antonio Reyes JR. is 1740759083 and holds a License No. (California).

The current practice location address for Antonio Reyes JR. is 660 E Regent St, Inglewood, CA and can be reached out via phone at 310-674-9179 and via fax at 310-674-0120.

Location: 660 E Regent St, Inglewood, CA, 90301-1415
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740759083
Provider Name
Antonio Reyes JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
660 E Regent St, Inglewood, CA, 90301-1415
Phone Number
310-674-9179
Fax Number
310-674-0120
Provider Enumeration Date
11/15/2018
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
900676339 01 CA IRS
institution
Provider Business Practice Location Address Details
Address
660 E Regent St
City
Inglewood
State
California
Zip
90301-1415
Phone Number
310-674-9179
Fax Number
310-674-0120
person
Provider Business Mailing Address Details
Address
660 E Regent St
City
Inglewood
State
California
Zip
90301-1415
Phone Number
310-674-9179
Fax Number
310-674-0120
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotic Fitter
Speciality
-
Taxonomy
225000000X
License No.
(California)
Definition
An individual trained in the management of fitting prefabricated orthoses.
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