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NPI Code Detail

MEDICARE: MARNIE RENDA OTR/L

MEDICARE: MARNIE RENDA OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist0700182OH

General Provider Information

NPI Number : 1508034794
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARNIE RENDA OTR/L
Provider Business Mailing Address
First Line : 2542 ERIE AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45208-2020
Country : US
Telephone Number : 513-276-0515
Fax Number :
Provider Business Practice Location Address
First Line : 2542 ERIE AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45208-2020
Country : US
Telephone Number : 513-276-0515
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2008
Last Update Date : 02/11/2008

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Directions to “ MARNIE RENDA OTR/L” Practice Location

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