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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

Quick Facts

NPI
1205202413
Entity Type
Individual
Gender
Female
Medicare
Not confirmed
Specialties
1
Locations
1

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