Individual
BREEANA NICOLE REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
120 RIDGE AVE, CLOVER, SC 29710-1235
(803) 357-3623
Mailing address
120 RIDGE AVE, CLOVER, SC 29710-1235
(803) 357-3623
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
18104
NC
225XG0600X
Gerontology Occupational Therapist
7805
SC
Other
Enumeration date
11/18/2022
Last updated
11/05/2025
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