Individual
KELLY REICHERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1289 OLIVER ST, FAYETTEVILLE, NC 28304-4450
(910) 483-8331
Mailing address
6751 SALERNO ST NW, CANTON, OH 44718-3772
(330) 324-5142
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
07/30/2015
Last updated
07/30/2015
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