Individual
CARRA REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
127 FORD DR, LINCOLN UNIVERSITY, PA 19352-9030
(443) 945-0015
Mailing address
127 FORD DR, LINCOLN UNIVERSITY, PA 19352-9030
(443) 945-0015
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG01230
PA
Other
Enumeration date
10/31/2016
Last updated
10/31/2016
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