Individual
MEGHAN MARIE PENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
100 E FERGUSON ST, TYLER, TX 75702-5759
(903) 360-3611
Mailing address
100 E FERGUSON ST, TYLER, TX 75702-5759
(903) 360-3611
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212457
TX
Other
Enumeration date
06/02/2016
Last updated
06/06/2016
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