Individual
RENAE ANKENY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
812 E CHURCH ST, MARTINSVILLE, VA 24112-3109
(276) 638-4809
(276) 638-5139
Mailing address
812 E CHURCH ST, MARTINSVILLE, VA 24112-3109
(276) 638-4809
(276) 638-5139
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001613
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015560008600
BPA BESTLIFE
VA
Enumeration date
03/07/2017
Last updated
03/07/2017
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