Individual
JUDY REEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4566 ORANGE BLVD, SUITE 1006, SANFORD, FL 32771-9104
(407) 792-4685
Mailing address
8100 E MOUNT HOPE RD, COLUMBIA, MO 65202-7635
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
001104
MO
Other
Enumeration date
10/10/2014
Last updated
10/10/2014
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