Individual
BRITTANY DALE REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
714 DUBLIN ST, NEW ORLEANS, LA 70118-1022
(504) 861-4693
(504) 865-8379
Mailing address
340 FALCONER DR, COVINGTON, LA 70433-8204
(985) 892-2845
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
09833
LA
225100000X
Physical Therapist
Primary
09833
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3049341
—
LA
01
—
5CP75
MEDICARE
LA
Enumeration date
11/06/2017
Last updated
03/23/2023
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