Individual
MRS. ELIZABETH VIRGINIA REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4603 TIMBERWALK CT, LA GRANGE, KY 40031-6746
(606) 776-0071
Mailing address
710 DEER RUN LN, MOREHEAD, KY 40351-7912
(606) 776-0071
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
BOTOCT00218425
KY
225X00000X
Occupational Therapist
OT.008456
OH
Other
Enumeration date
05/05/2015
Last updated
02/24/2020
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