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Individual

BRITTANY DALE REYNOLDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

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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