Individual
AMBER T. REEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
315 E QUEEN ST, PENDLETON, SC 29670-1721
(864) 403-2000
Mailing address
315 E QUEEN ST, PENDLETON, SC 29670-1721
(864) 403-2000
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
2554
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942275649
—
SC
05
—
TH0536
—
SC
Enumeration date
05/04/2006
Last updated
10/02/2013
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