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NPI Code Detail

MEDICARE: REBECCA KRENZER OTR/L

MEDICARE: REBECCA KRENZER 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 Therapist

General Provider Information

NPI Number : 1861115669
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA KRENZER OTR/L
Provider Business Mailing Address
First Line : 10396 TRANSIT RD
Second Line :
City : EAST BETHANY
State : NY
Zip : 14054-9756
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2000 WESLEYAN BLVD
Second Line :
City : RAPID CITY
State : SD
Zip : 57702-9340
Country : US
Telephone Number : 888-995-1305
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2022
Last Update Date : 09/26/2022

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