Shelly Penn, COTA Valid NPI

Individual provider · Occupational Therapy Assistant · Watertown, WI

NPI

1942611017

Type

Individual (Type 1)

Primary specialty

Occupational Therapy Assistant

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

224Z00000X

License number

5026-27 (WI)

Sex

Female

Sole proprietor

No

Enumerated

2014-05-12

Last updated

2014-05-12