Individual
STEPHEN LANCE PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 13TH ST, HUNTINGTON, WV 25701-1653
(304) 525-7622
Mailing address
PO BOX 1046, BARBOURSVILLE, WV 25504-3046
(304) 561-4944
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 001910
WV
Other
Enumeration date
06/02/2015
Last updated
06/02/2015
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