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Individual
MRS. REBECCA MARIE FENNER
Active
Individual
MRS. REBECCA MARIE FENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT10344
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
887658400
—
FL
Enumeration date
10/12/2006
Last updated
07/09/2020
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