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Individual
MICHAEL A PENNINGTON
Active
Individual
MICHAEL A PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00008861
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
161592
DEPT OF L&I
WA
01
—
5453PE
REGENCE
WA
01
—
650024235
R/R MED
WA
05
—
8334153
—
WA
01
—
8937391
CRIME VICTIMS
WA
Enumeration date
08/25/2005
Last updated
12/09/2014
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