Individual
KRISTEN REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
411 BERTHA WALLACE DR, IRVINE, KY 40336-9418
(606) 723-5153
(606) 723-7765
Mailing address
210 LAUREL DR, BEREA, KY 40403-1312
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R4293
KY
Other
Enumeration date
03/17/2010
Last updated
03/17/2010
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