Individual
DENISHA RENEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 NE 187TH ST, MIAMI, FL 33179-4445
(813) 270-5394
Mailing address
11 NE 187TH ST, MIAMI, FL 33179-4445
(813) 270-5394
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA15617
FL
Other
Enumeration date
12/19/2016
Last updated
12/19/2016
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