Individual
EMILY L REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR
Contact information
Practice address
101 S MERIDIAN ST RM 209, PORTLAND, IN 47371-2112
(812) 480-0654
Mailing address
1831 W STATE ROAD 28, RIDGEVILLE, IN 47380-9256
(812) 480-0654
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31004354A
IN
Other
Enumeration date
04/06/2007
Last updated
02/16/2024
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