Individual
PENNY ELIZABETH WARSOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTAL
Contact information
Practice address
90 N MICHIGAN AVE, COLDWATER, MI 49036-1527
(517) 279-9808
Mailing address
90 N MICHIGAN AVE, COLDWATER, MI 49036-1527
(517) 279-9808
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202007276
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5202007276
BOARD OF LICENSING FOR OCCUPATIONAL THERAPY
MI
Enumeration date
04/16/2019
Last updated
04/16/2019
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