Individual
RENAE DESHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
10809 S SAGINAW ST, GRAND BLANC, MI 48439-7033
(810) 695-8700
(810) 695-7946
Mailing address
10809 S SAGINAW ST, GRAND BLANC, MI 48439-7033
(810) 695-8700
(810) 695-7946
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201008626
MI
Other
Enumeration date
04/18/2014
Last updated
05/18/2021
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