Individual
MRS. LISA KELLY REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
8100 WASHINGTON LN, WYNCOTE, PA 19095-1600
(215) 576-8000
Mailing address
8100 WASHINGTON LN, WYNCOTE, PA 19095-1600
(215) 576-8000
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP008061
PA
Other
Enumeration date
09/02/2014
Last updated
05/30/2015
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