Individual
MRS. SHEILA DENNEY REAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2515 OAK GROVE CHURCH RD, CARROLLTON, GA 30117-9525
(770) 755-8033
Mailing address
2515 OAK GROVE CHURCH RD, CARROLLTON, GA 30117-9525
(770) 755-8033
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT001493
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000609045C
—
GA
Enumeration date
05/14/2009
Last updated
08/20/2016
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