Individual
KELLIE LYNN RENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
500 E UNIVERSITY DR, ROCHESTER, MI 48307-7206
(517) 250-0317
Mailing address
7820 COLONY DR, CLAY, MI 48001-4115
(517) 250-0317
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201008444
MI
Other
Enumeration date
03/09/2018
Last updated
03/29/2021
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