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

WILLIAM D PENNER, COTA/L

Active Sole Proprietor

WILLIAM D PENNER, COTA/L is a Occupational Therapy Assistant healthcare provider located in LAS CRUCES, New Mexico. NPI 1366714917 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · LAS CRUCES, NM

Registration Details

NPI Number
1366714917
Provider Type
Individual
Gender
Male
NPI Issued
Jan 29, 2012 (14.552788463064 yrs)
Last Updated
Jan 29, 2012
License
2505 (NM)
Sole Proprietor
Yes

Practice Information

Address
3734 PIEDRAS NEGRAS DR
LAS CRUCES, NM, 880127671
Browse NM providers · Browse ZIP 88012
Phone
5756420920
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in LAS CRUCES, NM

Name Credential NPI
THOMAS FRANKLIN MARSH OTA 1326175233
LAURA GOMEZ COTA L 1053539791
MS. MARTHA MULVIHILL OTRL 1649499815
LISA YATES COTA L 1629286661
NOEMI CORREA BUSTILLOS COTA/L 1619176195
KAREN SUE FLANAGAN COTA 1306046966
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.