Brent A Panno, OT

NPI #1063890879 in Forest Park, Illinois

Provider Information

NPI Number: 1063890879
Entity Type: Individual
Name: Brent A Panno, OT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: May 13, 2015
Last Updated: Jun 4, 2015

Practice Location

Address: 800 DES PLAINES AVE
City: Forest Park
State: Illinois
ZIP Code: 60130-2035
Phone: (708) 366-2442

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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