Individual
GIGI JOAN REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
95 CHUCKEY RURITAN RD S, CHUCKEY, TN 37641-5177
(423) 329-7640
Mailing address
PO BOX 292, CHUCKEY, TN 37641-0292
(423) 329-7640
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3502
TN
Other
Enumeration date
04/23/2021
Last updated
04/23/2021
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