Renee Conte, COTA/L

Individual provider Active NPI Contractor · Shelby Township, MI

NPI 1730452996 · NPPES record last updated Feb 20, 2012

Key facts

NPI
1730452996
Entity type
Individual (NPI type 1)
Primary specialty
Contractor 171W00000X
License
5202006788 (MI)
Practice address
55501 Cleveland
Shelby Township, MI 48316-1117
Phone
(248) 321-4551
NPI assigned
Feb 20, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
5202006788MIMDContractor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 5202006788 MI Yes

Addresses

Primary practice location

55501 Cleveland
Shelby Township, MI 48316-1117

Mailing address

55501 Cleveland
Shelby TWP, MI 48316-1117
Phone (248) 321-4551

Other providers in Shelby Township, MI

All providers in Shelby Township, MI · Contractor in Michigan

Sources for this page

Verify at the official NPI Registry.