Individual
RENEE CAVANAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR
Contact information
Practice address
3001 S CREASY LN, LAFAYETTE, IN 47905-5206
(765) 423-6885
(765) 423-6099
Mailing address
3001 S CREASY LN, LAFAYETTE, IN 47905-5206
(765) 423-6885
(765) 423-6099
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31007526A
IN
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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