Individual
NICOLE REAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L, CHT
Contact information
Practice address
5630 E SANTA ANA CANYON RD STE 105, ANAHEIM, CA 92807
(714) 282-7701
Mailing address
200 NEWPORT CENTER DR STE 213, NEWPORT BEACH, CA 92660-7503
(949) 644-1322
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
14414
CA
225XH1200X
Hand Occupational Therapist
Primary
14414
CA
Other
Enumeration date
06/26/2014
Last updated
07/18/2018
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