Individual
CASSANDRA GRACE REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3900 CROSBY DR APT 102, LEXINGTON, KY 40515
(513) 600-9979
Mailing address
3900 CROSBY DR APT 102, LEXINGTON, KY 40515-1858
(513) 600-9979
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
7137
AZ
Other
Enumeration date
10/04/2017
Last updated
10/30/2019
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