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Organization
REYNOLDS PHYSICAL THERAPY, LLC
Active
Organization
REYNOLDS PHYSICAL THERAPY, LLC
Active
Other names
Paramount Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DOROTHY J REYNOLDS P.T. (PHYSICAL THERAPIST)
(724) 462-4894
Entity
Organization
Contact information
Practice address
1750 NEW BUTLER RD, STE D, NEW CASTLE, PA 16101-3184
(724) 856-3268
(724) 856-3269
Mailing address
1750 NEW BUTLER RD, STE D, NEW CASTLE, PA 16101-3184
(724) 856-3268
(724) 856-3269
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT015414
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
177238YACM
MEDICARE - PTAN
PA
Enumeration date
02/26/2010
Last updated
05/19/2010
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