Individual
MEGAN REAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
917 BEVILLE RD, SUITE G, SOUTH DAYTONA, FL 32119-1712
(386) 756-4395
(866) 426-2811
Mailing address
126 W CHESTNUT ST, WEST CHESTER, PA 19380-2516
(804) 366-6698
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
U2-0001005
DE
Other
Enumeration date
06/27/2008
Last updated
06/27/2008
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