Individual
RENEE N MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
36715 200TH ST SW, FISHER, MN 56723-9458
(701) 740-0972
Mailing address
36715 200TH ST SW, FISHER, MN 56723-9458
(701) 740-0972
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
870
NE
Other
Enumeration date
07/24/2012
Last updated
07/24/2012
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