Reynolds, Amy
Reynolds, Amy is an sole proprietor health care provider with primary practice located at 1000 Holcomb Woods Pkwy Ste 422 , Roswell GA 30076. She recently has 2 registered licenses in different health care specialties including Hospitals / General Acute Care Hospital, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Reynolds, Amy can be contacted via phone (770) 641-8070.Contact Information
Primary practice address
1000 Holcomb Woods Pkwy Ste 422
Roswell GA 30076
Phone: (770) 641-8070
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Hospitals / General Acute Care Hospital | 282N00000X | OT005430 | Georgia |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X |
Profile Details
NPI number | 1649606880 |
---|---|
LBN Legal business name | Reynolds, Amy |
Credentials | MS, OTR/L |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 19th, 2013 |
Last updated | Oct 22nd, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1649606880 | NPPES |
Georgia | MEDICAID | 003133500A |
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