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1215055652
HEIDI COOMER PENNELLA
TAMPA, FL
NPI
1215055652
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: FL 10509)
Enumeration Date
2007-03-26
Last Update Date
2007-07-08
Business Address
-- HEIDI COOMER PENNELLA OTR L
16546 N DALE MABRY HWY
TAMPA, FL 33618-1325
Phone number: 813-964-8481
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Mailing Address
-- HEIDI COOMER PENNELLA OTR L
18211 CLAY HILL RD
DADE CITY, FL 33523-6476
Phone number: 813-404-3232
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