Johnna Revis, PTA - Gray Court, SC

Johnna Revis, PTA

Physical Disabilities Residential Treatment Facility in Gray Court, South Carolina

NPI 1205202413

Johnna Revis is a Physical Disabilities Residential Treatment Facility based in Gray Court, SC. Johnna Revis practices in Gray Court, SC and has the professional credentials of PTA. The NPI Number for Johnna Revis is 1205202413 and holds a License No. 1771 (South Carolina).

The current practice location address for Johnna Revis is 5768 Highway 14, Gray Court, SC and can be reached out via phone at 864-872-2116.

Location: 5768 Highway 14, Gray Court, SC, 29645-6764

NPI Number

1205202413

Provider Name

Johnna Revis

Credential

PTA

Provider Entity Type

Individual

Gender

Female

Address

5768 Highway 14, Gray Court, SC, 29645-6764

Phone Number

864-872-2116

Fax Number

Provider Enumeration Date

08/12/2015

Last Update Date

03/09/2024

Address

5768 Highway 14

City

Gray Court

State

South Carolina

Zip

29645-6764

Phone Number

864-872-2116

Fax Number

Address

5768 Highway 14

City

Gray Court

State

South Carolina

Zip

29645-6764

Phone Number

864-872-2116

Fax Number

Type

Residential Treatment Facilities

Classification

Residential Treatment Facility, Physical Disabilities

Speciality

Taxonomy

320700000X

License No.

1771 (South Carolina)

Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.