NPI | 1972742237 |
---|---|
Other Name | DESHAMBRA L PENNIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 112761) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 112761) |
225XP0200X Occupational Therapist, Pediatrics | |
Enumeration Date | 2009-02-10 |
Last Update Date | 2022-04-26 |