SearchVirginia343900000X

Reva Otey

NPI 1639705361 · on the registry since 2020 · sole proprietor

Practice

Address
4964 Thornspring Rd
Pulaski, VA 24301
Phone
(540) 994-9598
Organisation at this address
Dignified Transport Service Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
343900000X
343900000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-03-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia