| 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 |