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Organization
RENEW HOME THERAPY PLLC
Active
Organization
RENEW HOME THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA JENNINGS OT (FOUNDER/OWNER)
(269) 779-7708
Entity
Organization
Contact information
Practice address
6051 BRADFORD ST, PORTAGE, MI 49024-2553
(269) 903-9737
Mailing address
6051 BRADFORD ST, PORTAGE, MI 49024-2553
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
—
—
Other
Enumeration date
09/04/2023
Last updated
09/04/2023
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