Individual
SAMANTHA ELIZABETH REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. ATC LAT
Contact information
Practice address
16 MARNI CT, MARLTON, NJ 08053-1448
(609) 682-0284
Mailing address
16 MARNI CT, MARLTON, NJ 08053-1448
(609) 682-0284
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1388
KY
Other
Enumeration date
11/16/2016
Last updated
11/16/2016
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