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Individual

JENNIFER ANNE PENNINGTON

Active
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Individual

JENNIFER ANNE PENNINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR CHT

Taxonomy

Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
3963
CO
225XH1200X
Hand Occupational Therapist
4608
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
136M2
BCBS PROVIDER ID
NC
01
3963
CO OT LICENSE
CO
01
4608
LICENSE NO.
NC
05
7301721
NC
Enumeration date
06/17/2006
Last updated
11/08/2018
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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