Individual
DR. WHITNEY RENFROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
1912 BUNDY AVE, NEW CASTLE, IN 47362-2917
(765) 591-4190
(765) 381-1200
Mailing address
1912 BUNDY AVE, NEW CASTLE, IN 47362-2917
(765) 591-4190
(765) 381-1200
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31007186A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31007186A
STATE LICENSE
IN
Enumeration date
07/17/2020
Last updated
07/17/2020
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