Individual ProviderLaci L ReynoldsOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address8109 Fredericksburg Rd, San Antonio, TX 78229-3311(210) 575-0355PECOS EnrollmentBased on the most recent information from CMS, provider Laci L Reynolds does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1154661973Provider TypeIndividualFull NameReynolds, Laci LTitleMrs.CredentialOTRGenderFemaleSole ProprietorNoEnumeration Date2/15/2013Last Updated6/13/2020Contact InformationPractice LocationPractice Address8109 Fredericksburg Rd, San Antonio, TX 78229-3311Phone(210) 575-0355FaxUnlisted FaxMailing LocationMailing Address8109 Fredericksburg Rd, San Antonio, TX 78229-3311PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225X00000XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense115256Texas