JUSTIN MICHAEL PENNINGTON DPT, PT
Individual Provider (NPI-1)
Active
Physical Therapist
Provider Information
- NPI Number
1336009836- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DPT, PT
- Status
- Active
Contact & Location
- Address
- 109 MCNARY ESTATES DR N, KEIZER, OR, 973037459
- Phone
- (503) 463-5231
- Fax
- (503) 463-5175
Specialties & Taxonomies
Physical Therapist
License: OH #PT022122
Physical Medicine & Rehabilitation
License: TN #16878
Physical Therapist
Primary License: OR #CP056203T