Individual
MARK PENEWIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 GLEN CREEK RD NW, SALEM, OR 97304-3058
(503) 990-8627
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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