Individual
DAVID RENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
838 BROWN ST., JACKSONVILLE, TX 75766
(903) 339-6100
Mailing address
838 BROWN ST, JACKSONVILLE, TX 75766-2918
(903) 339-6100
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212453
TX
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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