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General NPI Number Information
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NPI Number | 1093200255
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Entity Type | Individual
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Provider Name | CORTNEY BRIANNA REYNOLDS DPT
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Gender | Female
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Dates
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Enumeration Date | 06/28/2018
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 4801 SPRINGFIELD ST
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City | DAYTON
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State | OH
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Zip | 45431-1084
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Country | US
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Telephone | 937-236-9965
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Fax |
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Provider Business Mailing Address
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Address Line | 517 PRESERVATION ST
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City | FAIRBORN
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State | OH
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Zip | 45324-4487
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Country | US
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Telephone | 937-260-9212
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT017475
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License Number State | OH
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