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Individual
DR. REBECCA J REYNOLDS
Active
Individual
DR. REBECCA J REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, EDD
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2119921
ILLINOIS SCHOOL BOARD OF EDUCATION
IL
Enumeration date
08/15/2022
Last updated
08/15/2022
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