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Individual
MR. SETH MICHAEL REYNOLDS
Active
Individual
MR. SETH MICHAEL REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BOC-O, CP
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
C49811
MD
224P00000X
Prosthetist
Primary
CP003528
DE
224P00000X
Prosthetist
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7795423
—
NC
01
—
C49811
CERTIFIED ORTHOTIST
—
01
—
CP003528
CERTIFIED PROSTHETIST
NC
Enumeration date
01/29/2009
Last updated
05/13/2015
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