Individual
DANIEL GLENN REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2701 LAKE ALFRED RD, WINTER HAVEN, FL 33881-1432
(863) 298-5000
Mailing address
3161 BLACKWATER OAKS WAY, MULBERRY, FL 33860-5552
(863) 899-3621
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 26021
FL
Other
Enumeration date
08/26/2015
Last updated
08/26/2015
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