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1558956110
AMY PENASKOVIC
NAMPA, ID
NPI
1558956110
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
Enumeration Date
2021-03-05
Last Update Date
2021-03-05
Business Address
AMY PENASKOVIC OTR
16171 N BRINSON ST
NAMPA, ID 83687-5509
Phone number: 208-442-2525
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Mailing Address
AMY PENASKOVIC OTR
18217 N HILLTOP RD
COLBERT, WA 99005-9131
Phone number: 509-828-3760
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