| Nicole Reynolds Llc | |
|
1015 Lake Shore Dr Apt 102, Lake Park, FL 33403-2800 | |
| (716) 481-2248 | |
| Not Available |
| Full Name | Nicole Reynolds Llc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist - Neurorehabilitation |
| Location | 1015 Lake Shore Dr Apt 102, Lake Park, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285209429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XN1300X | Occupational Therapist - Neurorehabilitation | (* (Not Available)) | Primary |
| Provider Name | Nicole Marie Reynolds |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467843482 PECOS PAC ID: 3678819612 Enrollment ID: I20190111000276 |
| Provider Name | Sabrina Jean Glover |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821799297 PECOS PAC ID: 9739553983 Enrollment ID: I20230329003539 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Reynolds Llc 1015 Lake Shore Dr Apt 102, Lake Park, FL 33403-2800 Ph: (716) 481-2248 | Nicole Reynolds Llc 1015 Lake Shore Dr Apt 102, Lake Park, FL 33403-2800 Ph: (716) 481-2248 |
Marisa Lynn Cook, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 804 Us Highway 1 Ste 8, Lake Park, FL 33403 Phone: 561-429-6018 | |
Anchor Ot, Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 253 E Kalmia Dr, Lake Park, FL 33403 Phone: 772-631-8216 | |
Kristopher Brown, CF LVL 1, USAW COACH Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1309 S Killian Dr Unit A, Lake Park, FL 33403 Phone: 561-856-0908 | |
Sabrina Glover, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1015 Lake Shore Dr Apt 102, Lake Park, FL 33403 Phone: 561-275-5011 Fax: 561-530-2036 |