Individual
ELIZABETH PENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1140 ELIM DR, MARION, IA 52302-5817
(319) 377-4611
Mailing address
1140 ELIM DR, MARION, IA 52302-5817
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
01759
IA
225X00000X
Occupational Therapist
056007780
IL
Other
Enumeration date
05/17/2017
Last updated
05/17/2017
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