Individual
PENNY WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
84 JOHNSON ESTATE RD, CLAYTON, NC 27520-9289
(919) 359-9073
Mailing address
84 JOHNSON ESTATE RD, CLAYTON, NC 27520-9289
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4975
NC
Other
Enumeration date
11/11/2016
Last updated
11/11/2016
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