Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 013343 | OH |
NPI | 1063793347 |
---|---|
Provider Name | Monica Faye Reynolds |
First Address | Cincinnati, OH 45242-4403 |
Second Address | Cincinnati, OH 45242-4403 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2011 |
Last Update Date | 22/01/2014 |