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Contact Information

TRACY RENNA, OTR
4904 NE 123RD LN
OXFORD, FL34484
 Phone: 352-512-6513
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for TRACY RENNA · (Female)

NPI # 1285960229
Status Active
Credentials OTR (Registered Occupational Therapist)
Entity Individual
Enumeration date 10/27/2009
Last updated 10/27/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # OT14017
  • NY Medicaid 00313539
  • NY Medicaid 01815443
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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