Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY PENNOCK, COTA
Active Sole ProprietorKELLY PENNOCK, COTA is a Occupational Therapy Assistant healthcare provider located in MC LEAN, Virginia. NPI 1851809420 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · MC LEAN, VA
Registration Details
- NPI Number
- 1851809420
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 17, 2018 (8.5349413433287 yrs)
- Last Updated
- Jan 17, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
1739 KIRBY RDMC LEAN, VA, 221014817Browse VA providers · Browse ZIP 22101
- Phone
- 8004515121
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in MC LEAN, VA
| Name | Credential | NPI |
|---|---|---|
| MRS. NANCY HAMMER BUCKNER | COTA | 1720228489 |
| DEBRA K SHORES | COTA | 1194158840 |
| JENICA JOYCE CHEKOURAS | COTA-L | 1225518616 |
| CHARLENE WILLIAMSON | COTA/L | 1750981544 |
| KATHERINE LIBERTY CABACOY | COTA | 1669078036 |
| KELLIE EVELYNN WILLSON | — | 1801481783 |
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.