Individual
COURTNEY E REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2239 TACKETTS MILL DR BLDG K, WOODBRIDGE, VA 22192-3026
(804) 339-2893
Mailing address
5864 LANGTON DR, ALEXANDRIA, VA 22310-1752
(804) 339-2893
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
2305213018
VA
Other
Enumeration date
08/08/2019
Last updated
11/18/2022
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