Individual
PENNY KAYE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1800 N WABASH RD, SUITE 202, MARION, IN 46952-1300
(765) 651-3229
Mailing address
1800 N WABASH RD, SUITE 202, MARION, IN 46952-1300
(765) 651-3229
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001036A
IN
Other
Enumeration date
12/02/2009
Last updated
12/02/2009
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