Individual
TWANNA A REAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
15 MATRIX CV, JACKSON, TN 38305-1686
(731) 736-0738
Mailing address
15 MATRIX CV, JACKSON, TN 38305-1686
(731) 736-0738
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2872
TN
Other
Enumeration date
09/20/2006
Last updated
05/01/2009
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