Provider Demographics
NPI:1114984655
Name:DRYDEN, RENEE (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:RENEE
Middle Name:
Last Name:DRYDEN
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 1:210 ENGLAND ST
Mailing Address - Street 2:C/O NOVA CARE REHAB
Mailing Address - City:ASHLAND
Mailing Address - State:VA
Mailing Address - Zip Code:23005-2015
Mailing Address - Country:US
Mailing Address - Phone:804-798-1591
Mailing Address - Fax:804-798-1593
Practice Address - Street 1:210 ENGLAND ST
Practice Address - Street 2:C/O NOVA CARE REHAB
Practice Address - City:ASHLAND
Practice Address - State:VA
Practice Address - Zip Code:23005-2015
Practice Address - Country:US
Practice Address - Phone:804-798-1591
Practice Address - Fax:804-798-1593
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119002009225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist