Individual
MR. ROBERT RENIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
790 FLETCHER DR, ELGIN, IL 60123-4755
(847) 697-7800
Mailing address
790 FLETCHER DR, ELGIN, IL 60123-4755
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160004222
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160.004222
PEDIATRIC PHYSICAL THERAPY
IL
Enumeration date
01/09/2018
Last updated
01/09/2018
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