JORDYN ELIZABETH PENNER

GRAND ISLAND, NE
NPI1407372287
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: NE  1016)
Enumeration Date2017-08-14
Last Update Date2017-08-14
Business Address
JORDYN ELIZABETH PENNER COTA/L
3119 W FAIDLEY AVE
GRAND ISLAND, NE 68803-4114
Phone number: 308-384-2333
Mailing Address
JORDYN ELIZABETH PENNER COTA/L
230 E C ST
HASTINGS, NE 68901-6380
Phone number: 308-850-2436