Search › New Mexico › 224Z00000X
William Penner, COTA/L
NPI 1366714917 · on the registry since 2012 · sole proprietor
Practice
- Address
- 3734 Piedras Negras Dr
Las Cruces, NM 88012 - Phone
- (575) 642-0920
Registry record
- Primary taxonomy
- 224Z00000X
224Z00000X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-01-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico