Natisha Reynoso
NPI #1073874194 in Waveland, Mississippi
Provider Information
- NPI Number
- 1073874194
- Entity Type
- Individual
- Name
- Natisha Reynoso
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Developmental Therapist
- Enumeration Date
- Jun 5, 2012
- Last Updated
- Jun 5, 2012
Practice Location
- Address
- 210 DOGWOOD ST
- City
- Waveland
- State
- Mississippi
- ZIP Code
- 39576-2003
- Phone
- (228) 332-1094
Specialties & Taxonomy Codes
| Specialty |
|---|
| Developmental Therapist |
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