Individual
CHANA BRACHA RENNERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
14113 77TH AVE, FLUSHING, NY 11367-2813
(845) 746-1687
Mailing address
14113 77TH AVE, FLUSHING, NY 11367-2813
(845) 746-1687
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
02383001
NY
Other
Enumeration date
08/13/2019
Last updated
08/13/2019
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