Individual
MR. RONALD CHAN REYNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2625 KOOS BAY BLVD, COOS BAY, OR 97420-4907
(541) 267-2161
Mailing address
284 S 10TH ST, APT 8, COOS BAY, OR 97420-4681
(541) 221-3402
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5325
OR
Other
Enumeration date
06/10/2008
Last updated
06/10/2008
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