Staci Laniese Penner, OTR/L

NPI #1417925934 in Newton, Kansas

Provider Information

NPI Number: 1417925934
Entity Type: Individual
Name: Staci Laniese Penner, OTR/L
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: Mar 10, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 600 MEDICAL CENTER DR
City: Newton
State: Kansas
ZIP Code: 67114-8780
Phone: (316) 283-2700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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