Individual
AMY REYNOLDS
Active
Individual
AMY REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
282N00000X
General Acute Care Hospital
OT005430
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003133500A
—
GA
Enumeration date
09/19/2013
Last updated
10/22/2019
Update your record
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