Individual
PENNY SUE BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
24 OLD ETNA RD, LEBANON, NH 03766-1937
(603) 442-4207
Mailing address
364 MUD TURTLE POND RD, ORFORD, NH 03777-4713
(603) 353-9532
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0581
NH
Other
Enumeration date
08/13/2009
Last updated
08/13/2009
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