Individual
BETHANY RENSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
6126 JONATHAN LN NW, ROCHESTER, MN 55901-5545
(651) 335-8159
Mailing address
6126 JONATHAN LN NW, ROCHESTER, MN 55901-5545
(651) 335-8159
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8209
MN
Other
Enumeration date
07/24/2007
Last updated
04/02/2021
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