Individual
KRISTEN MICHELE PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
405 SAVANNAH PARK WAY, PANAMA CITY BEACH, FL 32407-3273
(805) 123-4567
Mailing address
405 SAVANNAH PARK WAY, PANAMA CITY BEACH, FL 32407-3273
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT8106
FL
Other
Enumeration date
10/22/2008
Last updated
10/22/2008
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