Individual
RENAE SUE LYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2901 CEDAR ST, NORWALK, IA 50211-9736
(877) 407-3422
Mailing address
607 NEBRASKA ST, EMERSON, NE 68733-3627
(402) 695-2683
(402) 695-2188
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
728
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025599000
—
NE
Enumeration date
02/13/2012
Last updated
12/16/2024
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