Provider Demographics
NPI:1952536500
Name:DELOS REYES, ARNE (PT)
Entity type:Individual
Prefix:MR
First Name:ARNE
Middle Name:
Last Name:DELOS REYES
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 1:60 MARKET STREET
Mailing Address - Street 2:SUITE 206
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-6559
Mailing Address - Country:US
Mailing Address - Phone:301-990-9599
Mailing Address - Fax:301-990-2899
Practice Address - Street 1:60 MARKET STREET
Practice Address - Street 2:SUITE 206
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20878-6559
Practice Address - Country:US
Practice Address - Phone:301-990-9599
Practice Address - Fax:301-990-2899
Is Sole Proprietor?:No
Enumeration Date:2009-05-27
Last Update Date:2009-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD22846225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist