Individual
MRS. ANDREA MARIE RENDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
100 GREEN AVE, TEMPLE, OK 73568
(580) 342-6556
Mailing address
1608 NW ELM AVE, LAWTON, OK 73507-5116
(580) 591-6279
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
209287
TX
224Z00000X
Occupational Therapy Assistant
Primary
800
OK
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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