Individual
PAUL REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4219 S WESTERN AVE, OKLAHOMA CITY, OK 73109-3410
(405) 644-5200
Mailing address
332 EMELYN ST, NORMAN, OK 73071-5055
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1391
OK
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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