REGINO IRWIN BARISO REYES

ST AUGUSTINE, FL
NPI1861448557
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: FL  PT0007862)
Additional Taxonomies225100000X Physical Therapist
(Licence: NJ  40QA00648200)
Enumeration Date2006-05-25
Last Update Date2015-03-24
Business Address
Mr. REGINO IRWIN BARISO REYES PT
100 SOUTHPARK BLVD STE 408-B
ST AUGUSTINE, FL 32086-5189
Phone number: 904-429-4443
Mailing Address
Mr. REGINO IRWIN BARISO REYES PT
3787 PALM VALLEY RD SUITE 102-335
PONTE VEDRA BEACH, FL 32082-4183
Phone number: 732-495-4501