Individual
SUSAN REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
400 CRATER LAKE AVE, MEDFORD, OR 97504-6808
(541) 601-9294
Mailing address
610 HIGH ST, OREGON CITY, OR 97045-2241
(503) 657-8903
(503) 266-8632
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
04374
OR
Other
Enumeration date
03/04/2013
Last updated
07/01/2025
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