Individual
CAROLINE RENTENAAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60661
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0329248
WA L&I
OR
05
—
500675884
—
OR
Enumeration date
08/05/2014
Last updated
11/19/2014
Update your record
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