Individual
MRS. BRENDA BATTEN REAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
1498
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4022
—
SC
05
—
TH1465
—
SC
Enumeration date
03/23/2006
Last updated
11/19/2013
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