Provider Demographics
NPI:1386136018
Name:REYNOLDS, MEGHAN CATHERINE (PT, DPT)
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:CATHERINE
Last Name:REYNOLDS
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:MEGHAN
Other - Middle Name:CATHERINE
Other - Last Name:HUMMEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:118 SHAWAN ROAD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:HUNT VALLEY
Mailing Address - State:MD
Mailing Address - Zip Code:21030
Mailing Address - Country:US
Mailing Address - Phone:410-628-7330
Mailing Address - Fax:410-527-1729
Practice Address - Street 1:118 SHAWAN ROAD
Practice Address - Street 2:SUITE 220
Practice Address - City:HUNT VALLEY
Practice Address - State:MD
Practice Address - Zip Code:21030
Practice Address - Country:US
Practice Address - Phone:410-628-7330
Practice Address - Fax:410-527-1729
Is Sole Proprietor?:No
Enumeration Date:2018-05-30
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD26013225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist