Provider Demographics
NPI:1871867481
Name:NOE RENAUD, MARGARET MARY (OTR/L)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:MARY
Last Name:NOE RENAUD
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:MARY
Other - Last Name:RENAUD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:198 WOODWIND CT
Mailing Address - Street 2:
Mailing Address - City:NICHOLASVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40356-9774
Mailing Address - Country:US
Mailing Address - Phone:859-559-2733
Mailing Address - Fax:
Practice Address - Street 1:198 WOODWIND CT
Practice Address - Street 2:
Practice Address - City:NICHOLASVILLE
Practice Address - State:KY
Practice Address - Zip Code:40356-9774
Practice Address - Country:US
Practice Address - Phone:859-559-2733
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-29
Last Update Date:2016-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY135021225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist