Individual
DR. NOAH PENNYPACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTD, OTR/L, ATC
Contact information
Practice address
50 SCUPPER LN, NORTHFIELD, OH 44067-3022
(330) 840-0500
Mailing address
50 SCUPPER LN, NORTHFIELD, OH 44067-3022
(330) 840-0500
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
225X00000X
Occupational Therapist
Primary
OT012046
OH
Other
Enumeration date
01/25/2019
Last updated
06/30/2022
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