Robert Edward Reynolds, COTA/L

NPI #1942504881 in La Grange Park, Illinois

Provider Information

NPI Number: 1942504881
Entity Type: Individual
Name: Robert Edward Reynolds, COTA/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: COTA/L
Enumeration Date: Jan 7, 2011
Last Updated: Jan 7, 2011

Practice Location

Address: 315 N LA GRANGE RD
City: La Grange Park
State: Illinois
ZIP Code: 60526-1903
Phone: (708) 588-6472

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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