Individual
ANDREW SCOTT REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
670 LEIGH DR, COLUMBUS, MS 39705-3014
(662) 328-1012
(662) 328-1507
Mailing address
670 LEIGH DR, COLUMBUS, MS 39705-3014
(662) 327-4540
(662) 327-4544
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2850
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08255051
—
MS
Enumeration date
10/04/2013
Last updated
06/01/2016
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