Individual
MELORA ANN RENNIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6 BALDWIN DR, SICKLERVILLE, NJ 08081-4438
(404) 563-9468
Mailing address
6 BALDWIN DR, SICKLERVILLE, NJ 08081-4438
(404) 563-9468
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC013107
PA
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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