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CARRA REYNOLDS

>> Massage Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1659823169

Individual Registrant:
 CARRA  REYNOLDS 
Gender: F
Sole Proprietor

Location and contact information for practice:
127 FORD DR  LINCOLN UNIVERSITY, PA 19352-9030 US
Tel: 443-945-0015  Fax: --

Contact information for business:
127 FORD DR  LINCOLN UNIVERSITY, PA 19352-9030 US
Tel: 443-945-0015  Fax: --

Registration Information:
NPI: 1659823169
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225700000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Massage Therapist
PAMSG01230

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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