| Doctor Name: | GINA MAUREEN REYNOLDS |
| NPI Number: | 1023202595 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N. |
| License Number: | 00019239 |
| Business Practice Address: | 5555 Glendon Ct Dublin, OH - 430163249 |
| Business Phone Number: | 5742567308 |
| Business Fax Number: | 5742567314 |
| Mailing Address: | Po Box 1086, MISHAWAKA |
| State: | IN |
| Postal Code: | 465461086 |
| Phone Number: | 5742567308 |
| Fax Number: | 5742567314 |
| NPI Enumeration Date: | 08/28/2007 |
| NPI Last Update Date: | 08/28/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WR0400X |
| License Number: | 00019239 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |