Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tessa Marie Penick

Individual provider Occupational Therapy Assistant · NPI 1477389690

Tessa Marie Penick is an Occupational Therapy Assistant in De Soto, Missouri. Licensed in Missouri. Registered with an NPI since 2024.

Licensed in
MO
In the registry since
2024

Practice location Address checks out

610 Vineland School Rd
De Soto, MO 63020-2561
Phone: (636) 586-1000
Fax: (636) 586-1009
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 2021011245 (MO)

Record details

NPI number1477389690
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 12, 2024
Last updated in NPPESSeptember 12, 2024
Certification dateSeptember 12, 2024

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