Individual
GABRIELLE MARIE RENELT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3060 FRONTIER WAY S, FARGO, ND 58104-8909
(701) 232-2340
Mailing address
46700 138TH ST, WILMOT, SD 57279-8127
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2199
ND
251S00000X
Community/Behavioral Health Agency
2199
ND
Other
Enumeration date
06/16/2025
Last updated
06/24/2025
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