Individual
MS. RENEE HAROLDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL CHT
Contact information
Practice address
14500 99TH AVE N, #1-210, MAPLE GROVE, MN 55369-4730
(763) 898-1778
(763) 898-1771
Mailing address
14500 99TH AVE N, #1-210, MAPLE GROVE, MN 55369-4730
(763) 898-1778
(763) 898-1771
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
103981
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
192940
BCBS OCCUPATIONAL THERAPY
VA
01
—
670001766
RAILROAD MEDICARE
VA
01
—
7601113
AETNA
—
05
—
8937141
—
VA
Enumeration date
05/03/2006
Last updated
04/02/2013
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