Individual
CASSIDY ELIZABETH PENLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5604A VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23462-5681
(757) 455-5000
Mailing address
5604A VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23462-5681
(757) 455-5000
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131002919
VA
Other
Enumeration date
03/21/2024
Last updated
03/21/2024
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