Individual
TRAY H REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 270-0501
Mailing address
308 WELLINGTON LN, MOORE, OK 73160-8104
(405) 799-5840
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
1572
OK
Other
Enumeration date
01/16/2008
Last updated
01/16/2008
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