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RUSSELL PENNINGTON

Physical Therapy Assistant

NPI: 1225572019Individual

Specialties, Licenses & Credentials

Physical Therapy AssistantPrimary

Physical Therapy Assistant

Code: 225200000X

09348(OR)

Contact & Hours

Address
146 VILLAGE DRIVE
COTTAGE GROVE, OR 97424

Quick Facts

NPI
1225572019
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
1
Locations
1

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