Champion, Teresa Reynolds
Champion, Teresa Reynolds is an sole proprietor health care provider with primary practice located at 910 Brookmeade Dr , Crestview FL 32539-6056. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Champion, Teresa Reynolds can be contacted via phone (850) 682-1903.Contact Information
Primary practice address
910 Brookmeade Dr
Crestview FL 32539-6056
Phone: (850) 682-1903
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT13323 | Florida |
Profile Details
| NPI number | 1912653130 |
|---|---|
| LBN Legal business name | Champion, Teresa Reynolds |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 25th, 2022 |
| Last updated | Feb 25th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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