Provider Demographics
NPI:1588939805
Name:REYMOND, EVE CLAIRE (OTR/L, RYT)
Entity type:Individual
Prefix:
First Name:EVE
Middle Name:CLAIRE
Last Name:REYMOND
Suffix:
Gender:F
Credentials:OTR/L, RYT
Other - Prefix:
Other - First Name:EVE
Other - Middle Name:CLAIRE
Other - Last Name:MUNKEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2222 SULLIVAN TRL
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18040-7958
Mailing Address - Country:US
Mailing Address - Phone:800-944-9782
Mailing Address - Fax:610-438-2046
Practice Address - Street 1:2051 N HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90068-1373
Practice Address - Country:US
Practice Address - Phone:323-874-7711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-20
Last Update Date:2012-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT5477225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist