Individual
CAROL T. REAVES
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4101-1 COLLEGE ST, JACKSONVILLE, FL 32205-5318
(904) 387-0370
(904) 387-0156
Mailing address
PO BOX 2467, JACKSONVILLE, FL 32203-2467
(904) 714-3976
(904) 387-0156
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
00003657
FL
Other
Enumeration date
04/24/2006
Last updated
07/08/2007
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