Individual
MARY CATHERINE REAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13609 CALIFORNIA ST, OMAHA, NE 68154-5260
(402) 938-2050
Mailing address
255 BELL ST, CHAGRIN FALLS, OH 44022-2944
(440) 539-3951
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
19150
CA
225X00000X
Occupational Therapist
Primary
OT010264
OH
Other
Enumeration date
03/17/2019
Last updated
03/17/2019
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