Stacey Ellice Reynolds in Manakin Sabot - Pediatrics
Stacey Ellice Reynolds - NPI 1578601415
Stacey Ellice Reynolds is a Pediatrics in Manakin Sabot, Virginia. Stacey Ellice Reynolds practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Stacey Ellice Reynolds is 1578601415. The last update date is 2007-07-08.
Stacey Ellice Reynolds's current location address is 40 Broad Street Rd, Manakin Sabot, Virginia. You can contact this provider via phone number 8047843514 and fax number 8047844514. The mailing address for Stacey Ellice Reynolds is 40 Broad Street Rd, Manakin Sabot, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacey Ellice Reynolds |
|---|---|
| Address | 40 Broad Street Rd, Manakin Sabot, Virginia |
| Phone Number | 8047843514 |
| Fax Number | 8047844514 |
| Sole Proprietor | Y |
| Credentials | OTRL |
NPI Number Detail
| NPI Number | 1578601415 |
|---|---|
| Provider Enumeration Date | 2007-02-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 40 Broad Street Rd |
|---|---|
| City | Manakin Sabot |
| State | Virginia (VA) |
| Post Code | 2310322130 |
| Phone Number | 8047843514 |
| Fax Number | 8047844514 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 225Xp0200X |
| Licence No | 119004113 |
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Definition: Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occu |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Stacey Ellice Reynolds?
The Stacey Ellice Reynolds has been issued the NPI (National Provider Identifier) 1578601415 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Stacey Ellice Reynolds's facilities are geographically located?
The facilities of Stacey Ellice Reynolds are physically situated at the following location: 40 Broad Street Rd, Manakin Sabot, VA, 2310322130.
What is Stacey Ellice Reynolds's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Stacey Ellice Reynolds is Pediatrics, and the taxonomy code that categorizes this field of expertise is 225Xp0200X.
When did Stacey Ellice Reynolds receive its 1578601415 assignment?
The Stacey Ellice Reynolds was assigned its 1578601415 on 2007-02-02, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Stacey Ellice Reynolds most recently updated or revised?
The information pertaining to Stacey Ellice Reynolds, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.