Individual
RENITA J FLOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
819 ASH ST, SPOONER, WI 54801-1201
(715) 635-2111
(715) 635-8674
Mailing address
1075 COUNTY HIGHWAY B, BRULE, WI 54820-9050
(715) 372-5094
(715) 635-8674
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2715-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40789600
—
WI
Enumeration date
05/03/2007
Last updated
07/09/2007
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