Individual
MELISSA MARIE REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
15 CYPRESS BRANCH WAY, PALM COAST, FL 32164-8413
(386) 585-5955
Mailing address
668 W PENIEL RD, PALATKA, FL 32177-8962
(615) 574-4272
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
413819
FL
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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