Individual
MRS. PRISCILLA C RENNIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0304
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1300449Y0NH01
ANTHEM BC/BS
NH
01
—
2486344
AETNA
NH
05
—
30412209
—
NH
Enumeration date
09/27/2006
Last updated
12/27/2012
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