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Individual
TOM A. PENNINGTON
Active
Individual
TOM A. PENNINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
001099
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LICENSE #001099
KY LICENSE 001099
KY
Enumeration date
01/23/2012
Last updated
01/23/2012
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