Organization
NAVAL MEDICAL CENTER PORTSMOUTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER REAGAN (OCCUPATIONAL THERAPIST)
(850) 527-5377
Entity
Organization
Contact information
Practice address
620 JOHN PAUL CIRCLE, PORTSMOUTH, VA 23708
(757) 953-5419
Mailing address
348 EAGLE DR, PANAMA CITY, FL 32407-2834
(850) 527-5377
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
0119005538
VA
Other
Enumeration date
03/05/2012
Last updated
03/05/2012
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