Individual
CHARLENE R. REEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
8254 118TH AVE, STE 100, LARGO, FL 33773-5027
(727) 541-5304
(727) 546-8527
Mailing address
8254 118TH AVE, STE 100, LARGO, FL 33773-5027
(727) 541-5304
(727) 546-8527
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT10209
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
881802100
—
FL
05
—
8878021 00
—
FL
Enumeration date
01/30/2007
Last updated
01/11/2011
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