Individual
JONATHAN REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1809 MEETING ST APT 6210, LEXINGTON, KY 40509-4592
(606) 375-5059
Mailing address
1809 MEETING ST APT 6210, LEXINGTON, KY 40509-4592
(606) 375-5059
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
252782
KY
Other
Enumeration date
11/01/2019
Last updated
11/01/2019
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