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NPI Code Detail

MEDICARE: SAVANNAH REYES

MEDICARE: SAVANNAH REYES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist17873NC
2225X00000XOccupational TherapistOT-2024-0100NM

General Provider Information

NPI Number : 1386482370
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAVANNAH REYES
Provider Business Mailing Address
First Line : 6505 MENDIUS AVE NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87109-4090
Country : US
Telephone Number : 505-720-5843
Fax Number :
Provider Business Practice Location Address
First Line : 200 BROADHURST RD
Second Line :
City : JACKSONVILLE
State : NC
Zip : 28540-3551
Country : US
Telephone Number : 910-455-2211
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2024
Last Update Date : 10/13/2025

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Directions to “ SAVANNAH REYES ” Practice Location

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