Provider Demographics
NPI:1750018339
Name:RECLAIM FXN, PLLC
Entity type:Organization
Organization Name:RECLAIM FXN, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:CHRISTINE
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:757-354-1637
Mailing Address - Street 1:415 SAINT PAULS BLVD UNIT 508
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23510-2556
Mailing Address - Country:US
Mailing Address - Phone:757-354-1637
Mailing Address - Fax:
Practice Address - Street 1:809 BRANDON AVE STE 208
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23517-1676
Practice Address - Country:US
Practice Address - Phone:757-354-1637
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-04
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty