NPI 1255629812
Sara Rose Renke, CTRS
Practice location
- Address
- 1669 W Maple Rd, Birmingham, MI 48009-1230
- Phone
- (248) 646-3347
- Fax
- (248) 646-4480
Registered specialties
Recreation Therapist
Primary
Registry record
- NPI
- 1255629812
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 18 Jul 2011
- Record last updated
- 18 Jul 2011
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.