Most Relevant Information
Provider Data
| NPI Number: | 1003552316 |
| Provider Name: | AMY RENN OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225XP0200X |
| Specialty: | Occupational Therapist |
| License Number: | OT005265 |
Most Important Dates
| Enumeration Date: | 05/10/2022 |
| Last Updated: | 05/10/2022 |
Provider Practice Location
3585 NORTHSIDE PKWY NW
ATLANTA
GA
303272309
Practice Location Phone/Fax
| Phone: | 4049856005 |
| Fax: |
Provider Mailing Location
354 LAKE FORREST LN NE
ATLANTA
GA
303423214
Provider Mailing Phone/Fax
| Phone: | 4049079767 |
| Fax: |