Individual
MS. GENEVIEVE ROXANNE PENLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHS, OTR/L
Contact information
Practice address
3620 COVENANT RD, COLUMBIA, SC 29204-4216
(803) 787-3033
(803) 787-0300
Mailing address
16 OTTER TRAIL CT, COLUMBIA, SC 29203-9284
(803) 269-2056
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
1885
SC
Other
Enumeration date
04/04/2016
Last updated
04/04/2016
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