NPI 1003383472

Jennifer Renaud

Practitioner Physical Therapy Assistant Hanover Park, IL

Practice location

Address: 2000 W Lake St, Hanover Park, IL 60133-4302
Phone: (630) 556-2000

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 160.007734 (IL)

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Registry record

NPI: 1003383472
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Oct 2018
Record last updated: 24 Oct 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.