Individual
AMANDA RENNERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1004 HEALTH CENTER DR, MATTOON, IL 61938-9253
(217) 258-2530
(217) 258-4176
Mailing address
1004 HEALTH CENTER DR, MATTOON, IL 61938-9253
(217) 258-2530
(217) 258-4176
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056005115
IL
Other
Enumeration date
06/04/2012
Last updated
06/04/2012
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