Provider Demographics
NPI:1386046985
Name:DELOS REYES, MARY JOYCE V (DPT)
Entity type:Individual
Prefix:DR
First Name:MARY JOYCE
Middle Name:V
Last Name:DELOS REYES
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4205 SAN FELIPE RD
Mailing Address - Street 2:100
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95135-1503
Mailing Address - Country:US
Mailing Address - Phone:408-238-1552
Mailing Address - Fax:
Practice Address - Street 1:5600 JOHN MUIR DR
Practice Address - Street 2:#E
Practice Address - City:NEWARK
Practice Address - State:CA
Practice Address - Zip Code:94560-5387
Practice Address - Country:US
Practice Address - Phone:510-651-9258
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-25
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41721225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist