Individual
CHANTAL C PENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21071 SAN SIMEON WAY APT 114, NORTH MIAMI BEACH, FL 33179-2275
(786) 873-2372
Mailing address
21071 SAN SIMEON WAY APT 114, NORTH MIAMI BEACH, FL 33179-2275
(786) 873-2372
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA15115
FL
Other
Enumeration date
09/05/2022
Last updated
09/05/2022
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