Individual
MR. FREDERICK R REYNOLDS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, USAW-SPC
Contact information
Practice address
1809 JASON DR, CINNAMINSON, NJ 08077-1553
(856) 314-8712
Mailing address
1809 JASON DR, CINNAMINSON, NJ 08077-1553
(856) 314-8712
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00134500
NJ
2255A2300X
Athletic Trainer
891
TN
2255A2300X
Athletic Trainer
RT003965
PA
Other
Enumeration date
10/01/2006
Last updated
09/08/2008
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