Individual
RHONDA DIANE PENNINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
515 S SANTA FE AVE STE 103, EDMOND, OK 73003
(405) 657-2310
(405) 657-2610
Mailing address
3512 HARRIS DR, EDMOND, OK 73013-8073
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
133
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200755080A
—
OK
Enumeration date
10/27/2017
Last updated
06/29/2018
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