Provider Demographics
NPI:1669876694
Name:CAUSIN, REY (PT)
Entity type:Individual
Prefix:MR
First Name:REY
Middle Name:
Last Name:CAUSIN
Suffix:
Gender:M
Credentials:PT
Other - Prefix:MR
Other - First Name:REYNALDO
Other - Middle Name:
Other - Last Name:CAUSIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:5510 LEXINGTON DR
Mailing Address - Street 2:
Mailing Address - City:PARRISH
Mailing Address - State:FL
Mailing Address - Zip Code:34219-5802
Mailing Address - Country:US
Mailing Address - Phone:941-962-2465
Mailing Address - Fax:
Practice Address - Street 1:5510 LEXINGTON DR
Practice Address - Street 2:
Practice Address - City:PARRISH
Practice Address - State:FL
Practice Address - Zip Code:34219-5802
Practice Address - Country:US
Practice Address - Phone:941-962-2465
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-20
Last Update Date:2014-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT86922251N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology