Individual
RENA BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
620 N 2ND ST, CARSON CITY, MI 48811-9790
(989) 584-6100
Mailing address
8112 E WILLARD RD, CRYSTAL, MI 48818-9755
(616) 225-4702
(616) 225-4703
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201003219
MI
Other
Enumeration date
05/10/2019
Last updated
05/10/2019
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