Individual
KRISTEN REEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10616 SOUTH JACOB SMART BOULEVARD, RIDGELAND, SC 29936
(843) 645-8255
Mailing address
10616 SOUTH JACOB SMART BOULEVARD, SUITE 103, RIDGELAND, SC 29936
(843) 645-8255
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
4175
SC
225XP0200X
Pediatric Occupational Therapist
OT005745
GA
Other
Enumeration date
01/14/2014
Last updated
01/14/2014
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