Individual
MR. SEAN MICHAEL REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Contact information
Practice address
418 BRICK MILL RD, COATS, NC 27521-9033
(215) 880-3783
Mailing address
418 BRICK MILL RD, COATS, NC 27521-9033
(215) 880-3783
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-2373
NC
Other
Enumeration date
06/25/2010
Last updated
01/24/2022
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