Individual
ASHLEY NICOLE REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2150 S COUNTRY CLUB DR STE 20, MESA, AZ 85210-6879
(480) 398-4280
(480) 398-4281
Mailing address
PO BOX 50218, PHOENIX, AZ 85076-0218
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-046872
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
67
OCCUPATIONAL THERAPIST ASSISTANT
AZ
Enumeration date
02/22/2021
Last updated
02/22/2021
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