Individual
MS. RENEE N REGIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
848 PEIRSON AVE, NEWARK, NY 14513-9762
(315) 331-2086
Mailing address
848 PEIRSON AVE, NEWARK, NY 14513-9762
(315) 331-2086
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
009453-1
NY
Other
Enumeration date
01/06/2014
Last updated
05/29/2015
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