Gene Casamera Reavis III, CO
Gene Casamera Reavis III, CO is a Prosthetic/Orthotic Supplier in Phila, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.
- Licensed in
- PA
- In the registry since
- 2023
Practice location Address checks out
901 S 55th St Unit A2Phila, PA 19143-4005
Phone: (215) 474-4767
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Prosthetic/Orthotic Supplier (primary) | Taxonomy 335E00000X · Licence CO264177 (PA) |
|---|
Record details
| NPI number | 1659150696 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CO |
| Sole proprietor | Yes |
| NPI enumerated | September 28, 2023 |
| Last updated in NPPES | September 28, 2023 |
| Certification date | September 27, 2023 |