Individual
PROF. MARCIE REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
33 W ONTARIO ST, UNIT 32D, CHICAGO, IL 60654-7760
(414) 507-2580
Mailing address
33 W ONTARIO ST, UNIT 32D, CHICAGO, IL 60654-7760
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4689-026
WI
Other
Enumeration date
11/10/2008
Last updated
05/03/2010
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