Individual
JESSICA REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1011 PORTERS NECK RD, WILMINGTON, NC 28411-9196
(910) 319-7440
Mailing address
7628 MALLOW RD, WILMINGTON, NC 28411-7315
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7699
NC
Other
Enumeration date
07/29/2011
Last updated
07/29/2011
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