| Doctor Name: | MS. RENEE HAROLDSON |
| NPI Number: | 1013975663 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | OTRL CHT |
| License Number: | 103981 |
| Business Practice Address: | 14500 99th Ave N #1-210 Maple Grove, MN - 553694730 |
| Business Phone Number: | 7638981778 |
| Business Fax Number: | 7638981771 |
| Mailing Address: | 14500 99th Ave N, #1-210 MAPLE GROVE |
| State: | MN |
| Postal Code: | 553694730 |
| Phone Number: | 7638981778 |
| Fax Number: | 7638981771 |
| NPI Enumeration Date: | 05/03/2006 |
| NPI Last Update Date: | 04/02/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225XH1200X |
| License Number: | 103981 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Occupational Therapist |
| Taxonomy Specialization: | Hand |
| Taxonomy Definition: | |