| NPI | 1023298437 |
|---|---|
| Former Legal Business Name | GINA REUILLON PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | REGINA MARIE RICCI CEO 772-223-3440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT12992) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2013-01-29 |