STACI LANIESE PENNER

NEWTON, KS
NPI1417925934
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: KS  1701637)
Enumeration Date2006-03-10
Last Update Date2007-07-08
Business Address
-- STACI LANIESE PENNER OTR/L
600 MEDICAL CENTER DR
NEWTON, KS 67114-8780
Phone number: 316-283-2700
Mailing Address
-- STACI LANIESE PENNER OTR/L
633 WESTCHESTER LN
NEWTON, KS 67114-1248
Phone number: 316-284-9976