Individual
REVA FORREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2649 HWY 91, DONALSONVILLE, GA 39845-2631
(229) 254-6543
Mailing address
410 ATHENS AVE, ATHENS, GA 30601-2008
(888) 531-2204
(855) 232-8604
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007816
GA
Other
Enumeration date
08/03/2020
Last updated
09/01/2020
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