Individual
MRS. DOROTHY J. REYNOLDS
Active
Individual
MRS. DOROTHY J. REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
09919
OH
225100000X
Physical Therapist
Primary
PT015414
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000316656
ANTHEM
OH
05
—
102430255 0001
—
PA
01
—
177239YACM
MEDICARE - PA
PA
05
—
2475307
—
OH
01
—
P00078023
MEDICARE RAILROAD
OH
01
—
P00979141
RAILROAD MEDICARE - PA
PA
01
—
RE2150077
HIGHMARK BLUE SHIELD OF PA
PA
Enumeration date
11/05/2005
Last updated
02/17/2012
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