# REVA REID THERAPY SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962649467
- **Authorized official:** MARIE REVA REID MSED, MOT (OWNER)
- **Authorized official phone:** (607) 669-4891

## Contact information

- **Practice address:** 3390 HANCE RD, BINGHAMTON, NY 13903-5756
- **Practice address phone:** (607) 669-4891
- **Mailing address:** 3390 HANCE RD, BINGHAMTON, NY 13903-5756
- **Mailing address phone:** (607) 669-4891

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 005407-1 | NY | Yes |

## Other

- **Enumeration date:** 01/21/2009
- **Last updated:** 01/21/2009