RAE K. PENCEK

MARIETTA, GA
NPI1124296553
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: GA  OT003297)
Enumeration Date2008-02-19
Last Update Date2008-02-19
Business Address
-- RAE K. PENCEK OTR/L
3595 CANTON RD SUITE A9 321
MARIETTA, GA 30066-2658
Phone number: 770-345-2804
Mailing Address
-- RAE K. PENCEK OTR/L
3595 CANTON RD SUITE A9 321
MARIETTA, GA 30066-2658
Phone number: 770-345-2804