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Organization

KENDRA PENNINGTON, OTR/L

Active
Parent organization
PREMIER VENTURES CORPORATION, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
PREMIER VENTURES CORPORATION, LLC
Authorized official
KENDRA PENNINGTON OTR/L (PARTNER)
(918) 409-2334
Entity
Organization

Contact information

Practice address
7915 S 77TH EAST AVE, TULSA, OK 74133-3527
(918) 409-2334
Mailing address
7915 S 77TH EAST AVE, TULSA, OK 74133-3527
(918) 409-2334

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary

Other

Enumeration date
06/17/2024
Last updated
06/17/2024
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