Individual
PENNY LYNN PEARSALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
36 STONY HILL VLG, BROOKFIELD, CT 06804-3933
(203) 885-4494
Mailing address
36 STONY HILL VLG, BROOKFIELD, CT 06804-3933
(203) 885-4494
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002881
CT
Other
Enumeration date
12/06/2012
Last updated
12/06/2012
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