Heather Lynne Penley, COTA/L
Occupational Therapy Assistant in Marina, CA. Individual provider (NPI-1).
NPI number1336836840
StatusActive
Last updated in NPPESApr 24, 2023
Details
- NPI
- 1336836840
- Entity type
- Individual (NPI-1)
- Name
- Heather Lynne Penley
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 24, 2023
- Certification date
- Apr 6, 2023
- Last updated
- Apr 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | 5389 | CA | Yes |
Practice location
3124 Lake Dr Apt 57Marina, CA 93933-2847
Phone 916-919-2983
Mailing address
3124 Lake Dr Apt 57Marina, CA 93933-2847
Phone 916-919-2983
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Occupational Therapy Assistant providers in Marina, CA
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.