Individual
MS. ALISON MARIE PENEGOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1119 OWENS ST. N., STILLWATER, MN 55082
(651) 439-7180
Mailing address
4780 CENTERVILLE RD., APT 315, WHITE BEAR LAKE, MN 55127
(906) 370-8188
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103712
MN
Other
Enumeration date
04/09/2009
Last updated
04/09/2009
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