Individual
RENEE INDELICATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
11201 RESTON STATION BLVD APT 238, RESTON, VA 20190-5464
(631) 848-0895
Mailing address
11201 RESTON STATION BLVD APT 238, RESTON, VA 20190-5464
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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