Individual
RENETA DJANANOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
700 COLORADO BLVD # 318, DENVER, CO 80206-4084
(866) 801-9492
(866) 293-4719
Mailing address
14719 BARRYKNOLL LN APT 62, HOUSTON, TX 77079-2854
(281) 589-7473
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2048267
TX
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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