Individual
MS. REBECCA LYNNE RENAUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
162 MAPLE ST, BROOKLYN, NY 11225-5008
(917) 750-3498
Mailing address
162 MAPLE ST, BROOKLYN, NY 11225-5008
(917) 750-3498
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
007771-1
NY
Other
Enumeration date
11/25/2008
Last updated
11/25/2008
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