Provider Demographics
NPI:1003048414
Name:SIONIT, RENEE (OTR/L)
Entity Type:Individual
Prefix:
First Name:RENEE
Middle Name:
Last Name:SIONIT
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11880 GREENVILLE AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-0587
Mailing Address - Country:US
Mailing Address - Phone:214-349-6178
Mailing Address - Fax:214-575-9898
Practice Address - Street 1:11880 GREENVILLE AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-0587
Practice Address - Country:US
Practice Address - Phone:214-349-6178
Practice Address - Fax:214-575-9898
Is Sole Proprietor?:No
Enumeration Date:2009-08-18
Last Update Date:2011-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX114365225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist