NPI 1164743985

Jordan Nicole Reynolds Mayfield, COTAL

Practitioner Occupational Therapy Assistant Russellville, AL

Practice location

Address: 369 Isbell Loop, Russellville, AL 35654-7566
Phone: (256) 436-1834
Mailing address: 369 Isbell Loop, Russellville, AL 35654

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 3068 (AL)

Other Occupational Therapy Assistant providers in Alabama →

Registry record

NPI: 1164743985
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Jun 2010
Record last updated: 16 Jun 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.