Individual
STEPHANIE AMBER RENEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1074 VIRGINIA AVE, ALBANY, KY 42602-1749
(606) 688-2534
Mailing address
1074 VIRGINIA AVE, ALBANY, KY 42602-1749
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
133771
KY
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
04/06/2020
Last updated
04/06/2020
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