Individual provider · Type 1 NPI

Charlea Shay Revennaugh, CMS

Rehabilitation Practitioner · Circleville, OH

NPI number 1104397835 Active

Practice location

110 Highland Ave
Circleville, OH 43113-1208

Call (740) 477-1745 Map

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: 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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About NPI 1104397835

Charlea Shay Revennaugh, CMS's National Provider Identifier is 1104397835, issued on Dec 6, 2018. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Circleville, OH. The record was last updated on Dec 6, 2018.