Individual
MERRY HARMON-PENNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
601 S 8TH ST, TACOMA, WA 98405-4614
(253) 571-7622
Mailing address
601 S 8TH ST, TACOMA, WA 98405-4614
(253) 571-7622
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 00001946
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT 00001946
OCCUPATIONAL THERAPIST
WA
Enumeration date
12/14/2012
Last updated
12/14/2012
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