Individual
EMILY PENROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
7100 TRAIL LAKE DR, FORT WORTH, TX 76123-1969
(817) 263-2224
Mailing address
6150 BROWNING DR APT 31202, NORTH RICHLAND HILLS, TX 76180-5398
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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