Provider Demographics
NPI:1134710957
Name:RENTZ, SUSAN (OTR/L, CBIS, CDRS)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:
Last Name:RENTZ
Suffix:
Gender:F
Credentials:OTR/L, CBIS, CDRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3200 NEALWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-6548
Mailing Address - Country:US
Mailing Address - Phone:407-920-7445
Mailing Address - Fax:
Practice Address - Street 1:3200 NEALWOOD AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-6548
Practice Address - Country:US
Practice Address - Phone:407-920-7445
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-03
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT6263225XN1300X, 225XR0403X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XR0403XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistDriving and Community Mobility
No225XN1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistNeurorehabilitation