Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | OT6263 | FL |
Y | 225XR0403X | Driving and Community Mobility | OT6263 | FL |
NPI | 1134710957 |
---|---|
Provider Name | Susan Rentz |
First Address | Orlando, FL 32806-6548 |
Second Address | Orlando, FL 32806-6548 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/02/2021 |
Last Update Date | 03/02/2021 |