MRS. Alicia Dawn Penny

NPI #1386928745 in Tinley Park, Illinois

Provider Information

NPI Number: 1386928745
Entity Type: Individual
Name: MRS. Alicia Dawn Penny
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Enumeration Date: Oct 4, 2011
Last Updated: Oct 4, 2011

Practice Location

Address: 18499 ZURICH LN
City: Tinley Park
State: Illinois
ZIP Code: 60477-4405
Phone: (312) 485-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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