Healthcare Provider Details

I. General information

NPI: 1255242962
Provider Name (Legal Business Name): SABRA RENNER OTD, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10184 E I25 FRONTAGE RD
FIRESTONE CO
80504-5445
US

IV. Provider business mailing address

1112 HEMLOCK CT
WINDSOR CO
80550-4933
US

V. Phone/Fax

Practice location:
  • Phone: 720-378-6670
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT.0009481
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: