Individual
MRS. AMY RENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3585 NORTHSIDE PKWY NW, ATLANTA, GA 30327-2309
(404) 985-6005
Mailing address
354 LAKE FORREST LN NE, ATLANTA, GA 30342-3214
(404) 907-9767
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT005265
GA
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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