Individual
PENNI NATION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
7380 CANOSA CT, WESTMINSTER, CO 80030-5022
(303) 430-8340
(303) 937-9044
Mailing address
7380 CANOSA CT, WESTMINSTER, CO 80030-5022
(303) 430-8340
(303) 937-9044
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1016762
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1016762
NBCOT
CO
Enumeration date
11/18/2014
Last updated
11/18/2014
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