Revis, Johnna

Revis, Johnna is an sole proprietor health care provider with primary practice located at 5768 Highway 14 , Gray Court SC 29645-6764. She recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities, which is considered as her primary health care specialty. Revis, Johnna can be contacted via phone (864) 872-2116.

Contact Information

Primary practice address
5768 Highway 14 Gray Court SC 29645-6764
Phone: (864) 872-2116
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities 320700000X 1771 South Carolina

Profile Details

NPI number 1205202413
LBN Legal business name Revis, Johnna
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2015
Last updated Aug 12th, 2015 - about 10 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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