Provider Demographics
NPI:1669765574
Name:ARMENION, REY LOUIE (PT)
Entity type:Individual
Prefix:
First Name:REY LOUIE
Middle Name:
Last Name:ARMENION
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6850 LINCOLN AVE STE 205
Mailing Address - Street 2:
Mailing Address - City:BUENA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90620-4180
Mailing Address - Country:US
Mailing Address - Phone:714-527-9240
Mailing Address - Fax:714-527-9230
Practice Address - Street 1:6850 LINCOLN AVE STE 205
Practice Address - Street 2:
Practice Address - City:BUENA PARK
Practice Address - State:CA
Practice Address - Zip Code:90620-4180
Practice Address - Country:US
Practice Address - Phone:714-527-9240
Practice Address - Fax:714-527-9230
Is Sole Proprietor?:No
Enumeration Date:2011-05-25
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA37716225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPT37716OtherPT BOARD CA