Kendra Sue Pennington, OTR/L
Occupational Therapist, Pediatrics in Tulsa, OK. Individual provider (NPI-1).
NPI number1649702002
StatusActive
Last updated in NPPESMay 21, 2024
Details
- NPI
- 1649702002
- Entity type
- Individual (NPI-1)
- Name
- Kendra Sue Pennington
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 3, 2017
- Certification date
- May 21, 2024
- Last updated
- May 21, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225XP0200X | Occupational Therapist, Pediatrics | 292 | OK | Yes |
| 225X00000X | Occupational Therapist | 10681 | MT |
Practice location
7915 S 77th East AveTulsa, OK 74133-3527
Phone 918-409-2334
Mailing address
7915 S 77th East AveTulsa, OK 74133-3527
Phone 918-409-2334 · Fax 918-836-4505
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