Individual
GWENN PALUAY REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
713 MIDWAY AVE, MOUNT AIRY, MD 21771-2833
(301) 829-6050
Mailing address
500 CHAPEL CT APT 323, WALKERSVILLE, MD 21793-8158
(301) 514-5445
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A5647
MD
Other
Enumeration date
04/18/2022
Last updated
04/18/2022
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