Individual
JESSICA RENKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
150 FRANCAM DR # 124, FAYETTEVILLE, NC 28311-4500
(910) 229-3924
Mailing address
88 BURR OAK CIR, BUNNLEVEL, NC 28323-1001
(563) 676-8767
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
18064
NC
Other
Enumeration date
10/03/2025
Last updated
10/03/2025
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