Provider Demographics
NPI:1609546753
Name:ABINALES, REY VINCENT
Entity Type:Individual
Prefix:
First Name:REY VINCENT
Middle Name:
Last Name:ABINALES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33280 JAMIE CIR
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94555-1574
Mailing Address - Country:US
Mailing Address - Phone:510-862-8556
Mailing Address - Fax:
Practice Address - Street 1:33280 JAMIE CIR
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94555-1574
Practice Address - Country:US
Practice Address - Phone:510-862-8556
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-20
Last Update Date:2021-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9088225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist