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JOHNNA REVIS, PTA
PTA
Physical Disabilities Residential Treatment Facility
NPI: 1205202413Individual
Specialties, Licenses & Credentials
Residential Treatment Facility, Physical Disabilities
Code: 320700000X
1771(SC)
Contact & Hours
- Address
- 5768 HIGHWAY 14
GRAY COURT, SC 29645 - Phone
- (864) 872-2116
Quick Facts
- NPI
- 1205202413
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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