Individual
LISA A RENOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1879 DEERFIELD RD, LEBANON, OH 45036-8602
(513) 695-2300
Mailing address
130 COLONIAL DR, LOVELAND, OH 45140-7901
(513) 490-4597
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
006445
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0616533
—
OH
Enumeration date
06/28/2007
Last updated
01/29/2016
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