Renee Jean Bax, OT

NPI #1356858187 in Rockton, Illinois

Provider Information

NPI Number: 1356858187
Entity Type: Individual
Name: Renee Jean Bax, OT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: Jan 2, 2018
Last Updated: Jan 2, 2018

Practice Location

Address: 204 BRIDGEWOOD LN
City: Rockton
State: Illinois
ZIP Code: 61072-3221
Phone: (815) 670-7617

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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