Reyes, Dianne Marie Fong

Reyes, Dianne Marie Fong is an individual health care provider with primary practice located at 1717 S Main St , Milpitas CA 95035-6756. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Reyes, Dianne Marie Fong can be contacted via phone (409) 957-5700.

Contact Information

Primary practice address
1717 S Main St Milpitas CA 95035-6756
Phone: (409) 957-5700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 10427 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 008915 New York

Profile Details

NPI number 1992116362
LBN Legal business name Reyes, Dianne Marie Fong
Credentials BACHELORS DEGREE
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2014
Last updated May 19th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992116362 NPPES
California Other 10427 PHYSICAL THERAPY BOARD OF CALIFORNIA

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