Individual
MARY AMELIA REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
325 NORTH STREET, BENNINGTON, VT 05201
(802) 442-6353
Mailing address
68 WILDER AVE., HOOSICK FALLS, NY 12090
(518) 686-3276
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
041.0000280
VT
Other
Enumeration date
09/23/2014
Last updated
09/23/2014
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