Individual
JENNIFER L PENLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L, MSOT
Contact information
Practice address
127 MISTY BROOKE DR, MOUNT WASHINGTON, KY 40047-6465
(502) 507-3841
Mailing address
127 MISTY BROOKE DR, MOUNT WASHINGTON, KY 40047-6465
(502) 507-3841
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R4588
KY
Other
Enumeration date
01/25/2011
Last updated
10/09/2012
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