Individual
MS. COLLEEN RENIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1025 E 54TH ST, INDIANAPOLIS, IN 46220-3219
(317) 584-5166
(317) 815-3861
Mailing address
16414 SOUTHPARK DR, WESTFIELD, IN 46074-8396
(317) 584-5166
(317) 815-3861
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31001030A
IN
Other
Enumeration date
07/22/2015
Last updated
07/22/2015
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