Individual
MR. MICHAEL P REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
2457 N 81ST ST, WAUWATOSA, WI 53213-1012
(414) 443-0944
Mailing address
2457 N 81ST ST, WAUWATOSA, WI 53213-1012
(414) 443-0944
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1830-027
WI
Other
Enumeration date
09/28/2009
Last updated
09/28/2009
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