Patrick Pennekamp
Patrick Pennekamp is an Occupational Therapist in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2016.
- Licensed in
- ID
- In the registry since
- 2016
Practice location Address checks out
190 E Bannock StBoise, ID 83712-6241
Phone: (208) 381-1117
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence OT-1469 (ID) |
|---|
Record details
| NPI number | 1689027898 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 22, 2016 |
| Last updated in NPPES | July 22, 2016 |
| Mailing address | 190 E Bannock St, Boise, ID 83712-6241 |
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