Stephen Lee Penick, OT

NPI #1568787380 in Lebanon, Tennessee

Provider Information

NPI Number: 1568787380
Entity Type: Individual
Name: Stephen Lee Penick, OT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: Apr 5, 2010
Last Updated: Apr 5, 2010

Practice Location

Address: 1018 W MAIN ST
City: Lebanon
State: Tennessee
ZIP Code: 37087-3302
Phone: (615) 466-5200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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