Organization
KIDBRIDGE THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL NICOLE REYNOLDS MSOTR/L (OWNER/OCCUPATIONAL THERAPIST)
(912) 663-4118
Entity
Organization
Contact information
Practice address
2384 GARDEN HILLS LOOP, RICHMOND HILL, GA 31324-6091
(912) 663-4118
Mailing address
2384 GARDEN HILLS LOOP, RICHMOND HILL, GA 31324-6091
(912) 663-4118
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT005053
GA
Other
Enumeration date
06/09/2017
Last updated
07/21/2022
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