Individual
MRS. RENAE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1108 OHIO RIVER BLVD, SEWICKLEY, PA 15143-2049
(412) 324-1025
Mailing address
1259 VIGO RD, CHILLICOTHE, OH 45601-8993
(740) 656-0374
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA03743
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
314000000
SKILLED NURSING FACILITY
OH
Enumeration date
09/24/2010
Last updated
09/24/2010
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