Provider Demographics
NPI:1386068146
Name:ARAND, RENEE RUTH (MS OTR/L)
Entity type:Individual
Prefix:
First Name:RENEE
Middle Name:RUTH
Last Name:ARAND
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:RENEE
Other - Middle Name:
Other - Last Name:DOMZALSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:747 WESTLAKE DR
Mailing Address - Street 2:
Mailing Address - City:ELBURN
Mailing Address - State:IL
Mailing Address - Zip Code:60119-7127
Mailing Address - Country:US
Mailing Address - Phone:480-438-7873
Mailing Address - Fax:
Practice Address - Street 1:140 E LOOP RD
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60189-8407
Practice Address - Country:US
Practice Address - Phone:480-438-7873
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-13
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056.013703225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist