Individual
JESSIE CAYE REAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
200 12TH ST, FRANKLIN, PA 16323-1217
(814) 437-3071
Mailing address
108 HILLCREST AVE, POLK, PA 16342-1810
(814) 432-2926
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC010665
PA
Other
Enumeration date
08/04/2010
Last updated
08/04/2010
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