Individual
HEATHER REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
850 W POE RD, BOWLING GREEN, OH 43402-1219
(419) 352-2228
(419) 352-2343
Mailing address
1560 HENTHORNE DR, MAUMEE, OH 43537-1371
(419) 866-5196
(419) 866-5663
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT009936
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609899061
CORP NPI NUMBER
OH
05
—
2526654
—
OH
Enumeration date
04/10/2007
Last updated
07/08/2007
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