Provider Demographics
NPI:1083396857
Name:REY, ANTHONY PABLO (PT, DPT)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:PABLO
Last Name:REY
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 SW 142ND AVE APT 208Q
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33027-1529
Mailing Address - Country:US
Mailing Address - Phone:786-325-5164
Mailing Address - Fax:
Practice Address - Street 1:601 SW 142ND AVE APT 208Q
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33027-1529
Practice Address - Country:US
Practice Address - Phone:786-325-5164
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-02
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist