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Contact Information

DAVID J REIS, OTR
US HWY 64 OLD HIGH SCHOOL ROAD
SHIPROCK, NM87420
 Phone: 505-368-5163
 Fax: 505-368-5502
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

225XP0200X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for DAVID J REIS · (Male)

NPI Number 1326108218
Status Active
Credentials OTR (Registered Occupational Therapist)
Entity Individual
Enumeration date 12/11/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NM License # 1762
  • NM Medicaid 18721362
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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