Most Relevant Information
Provider Data
| NPI Number: | 1003054313 |
| Provider Name: | JONATHAN ROBERT REID |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 014453-1 |
Most Important Dates
| Enumeration Date: | 01/23/2009 |
| Last Updated: | 01/23/2009 |
Provider Practice Location
170 INTREPID LANE
HIGH PEAKS
SYRACUSES
NY
13205
Practice Location Phone/Fax
| Phone: | 3154928319 |
| Fax: | 3154923758 |
Provider Mailing Location
170 INTREPID LANE
HIGH PEAKS
SYRACUSES
NY
13205
Provider Mailing Phone/Fax
| Phone: | 3154928319 |
| Fax: | 3154923758 |