Individual
MRS. WRENDA JO TRENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4345 WORTHINGTON LN, KITTY HAWK, NC 27949-9226
(434) 258-5179
Mailing address
4345 WORTHINGTON LN, KITTY HAWK, NC 27949-9226
(434) 258-5179
(434) 821-3719
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119002872
VA
225X00000X
Occupational Therapist
Primary
7400
NC
225XP0019X
Physical Rehabilitation Occupational Therapist
0119002872
VA
Other
Enumeration date
05/21/2013
Last updated
03/25/2020
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