Provider Demographics
NPI:1164255394
Name:REIFINGER, SEAN MICHAEL (PT, DPT)
Entity type:Individual
Prefix:
First Name:SEAN
Middle Name:MICHAEL
Last Name:REIFINGER
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 WILRICH GLENN RD
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-3346
Mailing Address - Country:US
Mailing Address - Phone:917-685-7262
Mailing Address - Fax:
Practice Address - Street 1:84 E MAIN ST
Practice Address - Street 2:
Practice Address - City:MENDHAM
Practice Address - State:NJ
Practice Address - Zip Code:07945-1800
Practice Address - Country:US
Practice Address - Phone:973-543-7337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-22
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA02281600225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist