Individual
AMY JOY RENAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
4000 DUBLIN BLVD, DUBLIN, CA 94568-3113
(650) 853-3313
Mailing address
2350 W EL CAMINO REAL FL 2, MOUNTAIN VIEW, CA 94040-6203
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
293842
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
293842
CA BOARD OF PHYSICAL THERAPY LICENSE NUMBER
CA
Enumeration date
10/06/2017
Last updated
01/30/2019
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