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Individual

JEAN REYNOSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
2050 S MAIN ST, DELTA, CO 81416-2407
(970) 874-9773
Mailing address
2184 TOVAR CT., GRAND JUNCTION, CO 81507
(970) 216-2076

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL-9746
CO

Other

Enumeration date
07/11/2012
Last updated
07/11/2012
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