Most Relevant Information
Provider Data
| NPI Number: | 1003534215 |
| Provider Name: | REBECCA J REYNOLDS MA, EDD |
| Entity Type: | Individual |
| Taxonomy Code: | 222Q00000X |
| Specialty: | Developmental Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/15/2022 |
| Last Updated: | 08/15/2022 |
Provider Practice Location
1501 S WOLF RD APT 139
PROSPECT HEIGHTS
IL
600701718
Practice Location Phone/Fax
| Phone: | 8473467695 |
| Fax: |
Provider Mailing Location
1501 S WOLF RD APT 139
PROSPECT HEIGHTS
IL
600701718
Provider Mailing Phone/Fax
| Phone: | 8473467695 |
| Fax: |