Individual
MR. ROBERT WILLIAM REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
451 S AMELIA AVE, DELAND, FL 32724-5917
(407) 506-2483
Mailing address
1559 STARGAZER TER, SANFORD, FL 32771-9202
(407) 506-2483
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
PA2263
ME
225200000X
Physical Therapy Assistant
Primary
PTA 19695
FL
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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