Individual
JEANIE PENINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2610 YAJOME ST, NAPA, CA 94558-5039
(707) 259-8710
Mailing address
514 CANON PARK DR, SAINT HELENA, CA 94574-9726
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
734
CA
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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