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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PENNY LARAE LUZADDER, OT

Active

PENNY LARAE LUZADDER, OT is a Occupational Therapist healthcare provider located in SAINTE MARIE, Illinois. NPI 1134635808 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · SAINTE MARIE, IL

Registration Details

NPI Number
1134635808
Provider Type
Individual
Gender
Female
NPI Issued
Dec 18, 2017 (8.6313585687742 yrs)
Last Updated
Mar 17, 2018
License
056005088 (IL)

Practice Information

Address
PO BOX 185
SAINTE MARIE, IL, 624590185
Browse IL providers · Browse ZIP 62459
Phone
6184553396
Primary Specialty
Occupational Therapist
225X00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.