Judd M Reynolds in Hattiesburg - Occupational Therapy Assistant
Judd M Reynolds - NPI 1730355967
Judd M Reynolds is a Occupational Therapy Assistant in Hattiesburg, Mississippi. Judd M Reynolds practices all healthcare services and medical treatments related to Occupational Therapy Assistant. The NPI Number for Judd M Reynolds is 1730355967. The last update date is 2021-06-30.
Judd M Reynolds's current location address is 415 S 28th Ave, Hattiesburg, Mississippi. You can contact this provider via phone number 6015447404 and fax number 6015795240. The mailing address for Judd M Reynolds is 415 S 28th Ave, Hattiesburg, Mississippi. To know further, please read the information below!
Provider Profile Detail
Provider Name | Judd M Reynolds |
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Address | 415 S 28th Ave, Hattiesburg, Mississippi |
Phone Number | 6015447404 |
Fax Number | 6015795240 |
Sole Proprietor | Y |
Credentials | D.O. |
NPI Number Detail
NPI Number | 1730355967 |
---|---|
Provider Enumeration Date | 2008-05-07 |
Last Updated Date | 2021-06-30 |
Provider Mailing Address Detail
Address | 415 S 28th Ave |
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City | Hattiesburg |
State | Mississippi (MS) |
Post Code | 394017246 |
Phone Number | 6015447404 |
Fax Number | 6015795240 |
Provider's Primary Taxonomy Detail
Speciality | Occupational Therapy Assistant |
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Taxonomy | 224Z00000X |
Licence No | TA2169 |
Definition: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
9807844 | MS | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Judd M Reynolds?
The Judd M Reynolds has been issued the NPI (National Provider Identifier) 1730355967 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Judd M Reynolds's physical address?
The Judd M Reynolds is physically located at 415 S 28Th Ave, in the city of Hattiesburg, MS, with the postal code 394017246.
What is Judd M Reynolds's specialized field of practice, and what is the corresponding taxonomy classification code?
The Judd M Reynolds's area of specialization is Occupational Therapy Assistant, and the corresponding taxonomy code that categorizes this field of practice is 224Z00000X.
On what date did the Judd M Reynolds receive its 1730355967 assignment from the Centers for Medicare & Medicaid Services?
The Judd M Reynolds was assigned its 1730355967 by the Centers for Medicare & Medicaid Services on 2008-05-07.
When was the Judd M Reynolds's information last updated?
The Judd M Reynolds's information was last updated on 2021-06-30.
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