Individual
RANDI PENNYWITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
320 ALBANY ST, DAYTON, OH 45417-3402
(937) 490-1175
Mailing address
1563 RUTLAND AVE, SPRINGFIELD, OH 45505-3943
(937) 324-0838
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.06575
OH
Other
Enumeration date
08/25/2016
Last updated
08/25/2016
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