Most Relevant Information
Provider Data
| NPI Number: | 1003431743 |
| Provider Name: | VICTORIA PARISH REYNOLDS DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/09/2020 |
| Last Updated: | 04/20/2022 |
Provider Practice Location
15825 BALLANTYNE MEDICAL PL STE 120
CHARLOTTE
NC
282774790
Practice Location Phone/Fax
| Phone: | 7043233409 |
| Fax: |
Provider Mailing Location
4601 PARK RD STE 300
CHARLOTTE
NC
282092290
Provider Mailing Phone/Fax
| Phone: | 7043232090 |
| Fax: |