Individual
MS. RENAE MAREE FENNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L.
Contact information
Practice address
7144 WINDING LAKE CIR, OVIEDO, FL 32765-5650
(407) 359-5695
(407) 359-5695
Mailing address
7144 WINDING LAKE CIR, OVIEDO, FL 32765-5650
(407) 359-5695
(407) 359-5695
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
5265
FL
251C00000X
Developmentally Disabled Services Day Training Agency
5265
FL
Other
Enumeration date
08/14/2007
Last updated
08/14/2007
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