Individual
SHANE REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
488 MAIN AVE, NORWALK, CT 06851-1008
(203) 838-0442
Mailing address
488 MAIN AVE, NORWALK, CT 06851-1008
(203) 838-0442
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
001009
CT
Other
Enumeration date
04/01/2015
Last updated
08/24/2020
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