PATRICK PENNEKAMP

BOISE, ID
NPI1689027898
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: ID  OT-1469)
Enumeration Date2016-07-22
Last Update Date2016-07-22
Business Address
-- PATRICK PENNEKAMP
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-1117
Mailing Address
-- PATRICK PENNEKAMP
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number:
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