Individual
MRS. KATHERINE HANCE REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
500 IRVINGTON RD, KILMARNOCK, VA 22482-0108
(804) 435-3435
Mailing address
500 IRVINGTON RD, KILMARNOCK, VA 22482-0108
(804) 435-3435
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305205744
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009402331
—
VA
01
—
20091
SENTARA
VA
01
—
250404
BCBS PROVIDER ID
VA
01
—
541726590
COMMERCIAL/WC CARRIER
VA
Enumeration date
07/31/2009
Last updated
11/16/2009
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