Individual
PAULETTE MARIE PENUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
200 FORTRESS DR, INMAN, SC 29349-9160
(864) 814-1357
Mailing address
10 PARIS RD., TAYLORS, SC 29687
(864) 895-6580
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3030
SC
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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