Individual
MELISSA PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2585 LAFRANIER RD, TRAVERSE CITY, MI 49686-8972
(231) 947-9511
Mailing address
785 SE BAYSHORE DR, STE 102, OAK HARBOR, WA 98277-3275
(231) 947-9511
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60666791
WA
Other
Enumeration date
11/15/2013
Last updated
02/07/2017
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