Individual
AMANDA REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA/L
Contact information
Practice address
136 DAVIS LN, LA FOLLETTE, TN 37766-3118
(423) 494-8965
(423) 562-1055
Mailing address
136 DAVIS LN, LA FOLLETTE, TN 37766-3118
(423) 494-8965
(423) 562-1055
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1804
TN
Other
Enumeration date
11/22/2012
Last updated
11/22/2012
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