Individual
MRS. TERESA MARIE REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MBA
Contact information
Practice address
421 MORGANTOWN ST, KINGWOOD, WV 26537-1095
(304) 789-2152
Mailing address
421 MORGANTOWN ST, KINGWOOD, WV 26537-1095
(304) 789-2152
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
000482
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0158059000
—
WV
Enumeration date
12/15/2006
Last updated
11/27/2012
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