Individual
ANDREW J RENAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1850 E PARK AVE, SUITE 112, STATE COLLEGE, PA 16803-6706
(814) 865-3566
(814) 235-2492
Mailing address
2414 AUTUMNWOOD DR, STATE COLLEGE, PA 16801-2485
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT018190
PA
Other
Enumeration date
07/19/2006
Last updated
02/17/2010
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