| NPI | 1568510857 |
|---|---|
| Former Legal Business Name | RENEAU REHAB PC |
| Entity Type | Organization |
| Authorized Contact | AMANDA STREETER Vice President 800-699-9395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2023-11-24 |