Individual
KAREN MARIE RENEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1515 CAL DR, DAVISON, MI 48423-9016
(810) 496-8888
Mailing address
10441 LINDEN RD, FENTON, MI 48430-9069
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201001689
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023059144
—
MI
Enumeration date
12/16/2018
Last updated
12/16/2018
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