Kelly Pennock, COTA

NPI #1851809420 in Mc Lean, Virginia

Provider Information

NPI Number
1851809420
Entity Type
Individual
Name
Kelly Pennock, COTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapy Assistant
Credential
COTA
Enumeration Date
Jan 17, 2018
Last Updated
Jan 17, 2018

Practice Location

Address
1739 KIRBY RD
ZIP Code
22101-4817
Phone
(800) 451-5121

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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