Individual
DR. JENNIFER REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1340 E COUNTY LINE RD, INDIANAPOLIS, IN 46227-0874
(317) 497-6600
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
05011523A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201338580
—
IN
Enumeration date
08/08/2014
Last updated
06/22/2021
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