Individual
NATALIE MARIE REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AT
Contact information
Practice address
807 BRANCH RD, NEWARK, DE 19711-2301
(302) 668-5730
Mailing address
807 BRANCH RD, NEWARK, DE 19711-2301
(302) 668-5730
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
004782
OH
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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