Individual
PENNY W ELKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 WOOD PL, BAY ST LOUIS, MS 39520-2836
(228) 467-2890
Mailing address
1 WOOD PL, BAY ST LOUIS, MS 39520-2836
(228) 467-2890
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
04/07/2010
Last updated
11/20/2012
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