MEDICARE: CARRIE E REEBALS

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
1	225X00000X	Occupational Therapist	0119001873	VA

General Provider Information

NPI Number	:	1558023218
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARRIE E REEBALS

Provider Business Mailing Address
First Line	:	199 HALL DR
Second Line	:
City	:	BARBOURSVILLE
State	:	VA
Zip	:	22923-2815
Country	:	US
Telephone Number	:	143-424-8192
Fax Number	:

Provider Business Practice Location Address
First Line	:	12425 VILLAGE LOOP
Second Line	:
City	:	CULPEPER
State	:	VA
Zip	:	22701-4306
Country	:	US
Telephone Number	:	540-218-3747
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2021
Last Update Date	:	10/11/2021

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Directions to “ CARRIE E REEBALS ” Practice Location

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