Individual
JENNIFER REAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
249 W FREEMASON ST, APT 304, NORFOLK, VA 23510-1349
(850) 527-5377
Mailing address
249 WEST FREEMASON, APT 304, NORFOLK, VA 23510
(850) 527-5377
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
0119005538
VA
Other
Enumeration date
11/03/2015
Last updated
11/03/2015
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