Individual
MRS. JOANNE LYNN REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1401 E STATE ST, ROCKFORD, IL 61104-2315
(815) 489-4470
(815) 490-5858
Mailing address
1401 E STATE ST, ROCKFORD, IL 61104-2315
(815) 489-4470
(815) 490-5858
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
JR40840804P
EI CREDENTIAL NUMBER
IL
Enumeration date
04/11/2007
Last updated
07/08/2007
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