Hali Reavis, COTA/L

Individual provider Active NPI Occupational Therapy Assistant · Canton, NC

NPI 1124554795 · NPPES record last updated May 2, 2017

Key facts

NPI
1124554795
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
Practice address
100 Silver Bluff Dr
Canton, NC 28716-6350
Phone
(828) 648-2044
NPI assigned
May 2, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X Yes

Addresses

Primary practice location

100 Silver Bluff Dr
Canton, NC 28716-6350

Mailing address

4560 SE International Way Ste 100
Milwaukie, OR 97222-4628

Other providers in Canton, NC

All providers in Canton, NC · Occupational Therapy Assistant in North Carolina

Sources for this page

Verify at the official NPI Registry.