Individual
RENA GROOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
729 WELLINGTON DR, MONROE, GA 30655-8499
(817) 832-5983
Mailing address
729 WELLINGTON DR, MONROE, GA 30655-8499
(817) 832-5983
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
113738
TX
225X00000X
Occupational Therapist
OT007488
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
214298601
—
TX
01
—
849T76
BCBS
TX
Enumeration date
08/30/2010
Last updated
01/30/2023
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