Healthcare Provider Details

I. General information

NPI: 1205386836
Provider Name (Legal Business Name): MARGA ELIZABETH REYNOLDS OT/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2016
Last Update Date: 05/09/2026
Certification Date: 05/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

227 ORCHARD LN
WINCHESTER VA
22602-2323
US

IV. Provider business mailing address

227 ORCHARD LN
WINCHESTER VA
22602-2323
US

V. Phone/Fax

Practice location:
  • Phone: 540-222-4493
  • Fax:
Mailing address:
  • Phone: 540-222-4493
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number0119004703
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: