Charlea Shay Revennaugh, CMS
NPI #1104397835 in Circleville, Ohio
Provider Information
- NPI Number
- 1104397835
- Entity Type
- Individual
- Name
- Charlea Shay Revennaugh, CMS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Rehabilitation Practitioner
- Credential
- CMS
- Enumeration Date
- Dec 6, 2018
- Last Updated
- Dec 6, 2018
Practice Location
- Address
- 110 HIGHLAND AVE
- City
- Circleville
- State
- Ohio
- ZIP Code
- 43113-1208
- Phone
- (740) 477-1745
Specialties & Taxonomy Codes
| Specialty |
|---|
| Rehabilitation Practitioner |
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