Individual
JESSICA REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 WARREN ST, BRIGHTON, MA 02135-3602
(617) 254-3800
Mailing address
30 WARREN ST, BRIGHTON, MA 02135-3602
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9639
MA
Other
Enumeration date
10/28/2009
Last updated
10/28/2009
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