Individual
JENNY MICHELLE REINE-BASKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
200 HAMPTON WOOD RD, JACKSON, NC 27845
(252) 534-0131
Mailing address
614 CHAPTICO RD, SOUTH HILL, VA 23970-1406
(304) 550-3697
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131002518
VA
Other
Enumeration date
08/04/2021
Last updated
03/17/2022
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