NPI 1225810401
Herbert Allen Reynolds, OTA
Practice location
- Address
- 103 Texas Ave, Bangor, ME 04401-4324
- Phone
- (207) 947-4557
- Mailing address
- 19 Memorial Dr, Winterport, ME 04496-3447
Registered specialties (2)
Occupational Therapy Assistant
Primary
Occupational Therapy Assistant
Registry record
- NPI
- 1225810401
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 20 Oct 2023
- Record last updated
- 20 Oct 2023
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.