Individual
MRS. RENEE WHITMIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
17825 W SIERRA MONTANA LOOP, SURPRISE, AZ 85388-7880
(623) 523-8700
Mailing address
17825 W SIERRA MONTANA LOOP, SURPRISE, AZ 85388-7880
(623) 523-8700
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OTH-005691
AZ
225XP0200X
Pediatric Occupational Therapist
Primary
OTH-005691
AZ
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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