Individual
DR. MARK REYNOLDS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
10215 FERNWOOD RD STE 506, BETHESDA, MD 20817-1184
(301) 530-1010
Mailing address
10215 FERNWOOD RD STE 506, BETHESDA, MD 20817-1184
(301) 530-1010
(301) 897-8597
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305214733
VA
225100000X
Physical Therapist
PT5766
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2305214733
VIRGINIA BOARD OF PHYSICAL THERAPY
VA
Enumeration date
01/18/2021
Last updated
08/11/2022
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