Individual
MISS BRITTANY ANN PENEGOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
601 S 7TH ST, ONTONAGON, MI 49953-1448
(906) 884-8000
Mailing address
400 RIVER ST, ONTONAGON, MI 49953-1614
(906) 884-6054
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201010601
MI
Other
Enumeration date
05/11/2020
Last updated
05/14/2020
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