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Charlea Shay Revennaugh, CMS
Rehabilitation Practitioner in Circleville, Ohio
NPI 1104397835

Charlea Shay Revennaugh is a Rehabilitation Practitioner based in Circleville, OH. Charlea Shay Revennaugh practices in Circleville, OH and has the professional credentials of CMS. The NPI Number for Charlea Shay Revennaugh is 1104397835 and holds a License No. (Ohio).

The current practice location address for Charlea Shay Revennaugh is 110 Highland Ave, Circleville, OH and can be reached out via phone at 740-477-1745.

Location: 110 Highland Ave, Circleville, OH, 43113-1208
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104397835
Provider Name
Charlea Shay Revennaugh
Credential
CMS
Provider Entity Type
Individual
Gender
Female
Address
110 Highland Ave, Circleville, OH, 43113-1208
Phone Number
740-477-1745
Fax Number
Provider Enumeration Date
12/06/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
110 Highland Ave
City
Circleville
State
Ohio
Zip
43113-1208
Phone Number
740-477-1745
Fax Number
person
Provider Business Mailing Address Details
Address
110 Highland Ave
City
Circleville
State
Ohio
Zip
43113-1208
Phone Number
740-477-1745
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
(Ohio)
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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