MEDICARE: VLADIMIR REJOUIS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant	40QB00268100	NJ

General Provider Information

NPI Number	:	1730403668
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VLADIMIR REJOUIS

Provider Business Mailing Address
First Line	:	86 HILLYER ST
Second Line	:
City	:	ORANGE
State	:	NJ
Zip	:	07050-4017
Country	:	US
Telephone Number	:	973-736-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	86 HILLYER ST
Second Line	:
City	:	ORANGE
State	:	NJ
Zip	:	07050-4017
Country	:	US
Telephone Number	:	973-736-2000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/22/2010
Last Update Date	:	03/22/2010

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Directions to “ VLADIMIR REJOUIS ” Practice Location

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