Individual
MRS. CATHY D. REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.T.
Contact information
Practice address
704 W SPRUCE ST, JERSEYVILLE, IL 62052-1433
(618) 498-2279
Mailing address
704 W SPRUCE ST, JERSEYVILLE, IL 62052-1433
(618) 498-2279
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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