| NPI | 1023786167 |
|---|---|
| Former Name | PIPER LAUREL REYNOLDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 4949) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 30366) |
| 225100000X Physical Therapist (Licence: VA 2305215427) | |
| Enumeration Date | 2021-09-02 |
| Last Update Date | 2024-09-24 |