Individual
MRS. PEGGY A ENABNIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3498 GREEN VALLEY RD, RESCUE, CA 95672-9625
(530) 391-8670
(888) 538-0573
Mailing address
4228 TYRONE WAY, CARMICHAEL, CA 95608-1649
(916) 486-3664
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
8907
CA
Other
Enumeration date
08/03/2017
Last updated
08/03/2017
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