Individual
MARY ELIZABETH PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3843 IVY CT, MARTINEZ, GA 30907-2812
(706) 750-3282
Mailing address
3843 IVY CT, MARTINEZ, GA 30907-2812
(706) 750-3282
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT008255
GA
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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