Individual
MICHELLE M RENTMEESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
215 N WEBSTER AVE, GREEN BAY, WI 54301-4813
(920) 433-3638
Mailing address
215 N WEBSTER AVE, GREEN BAY, WI 54301-4813
(920) 433-3638
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3093
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3093
LICENSE
WI
Enumeration date
12/15/2005
Last updated
04/07/2009
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