Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACEY ELLICE REYNOLDS, OTRL
Active Sole ProprietorSTACEY ELLICE REYNOLDS, OTRL is a Pediatric Occupational Therapist healthcare provider located in MANAKIN SABOT, Virginia. NPI 1578601415 is currently active in the NPPES registry. Verify at CMS.
Pediatric Occupational Therapist · MANAKIN SABOT, VA
Registration Details
- NPI Number
- 1578601415
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 2, 2007 (19.504411504801 yrs)
- Last Updated
- Jul 8, 2007
- License
-
0119004113 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
40 BROAD STREET RDMANAKIN SABOT, VA, 231032213Browse VA providers · Browse ZIP 23103
- Phone
- 8047843514
- Fax
- 8047844514
- Primary Specialty
-
Pediatric Occupational Therapist
225XP0200X
Other Pediatric Occupational Therapist Providers in MANAKIN SABOT, VA
| Name | Credential | NPI |
|---|---|---|
| MISS JENNIFER M DICKERSON | OTRL | 1356498281 |
| MS. LAURIE SUSAN LANNING | OTRL | 1316091838 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.