NPI 1104397835

Charlea Shay Revennaugh, CMS

Practitioner Rehabilitation Practitioner Circleville, OH

Practice location

Address: 110 Highland Ave, Circleville, OH 43113-1208
Phone: (740) 477-1745

Registered specialties

Rehabilitation Practitioner Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X

Other Rehabilitation Practitioner providers in Ohio →

Registry record

NPI: 1104397835
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Dec 2018
Record last updated: 6 Dec 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.