Individual
BRITNEE MAZELLE PANNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3840 NEW VISION DR, FORT WAYNE, IN 46845-1708
(604) 832-4222
(260) 483-0788
Mailing address
1795 ALYSHEBA WAY STE 3202, LEXINGTON, KY 40509-2280
(859) 265-8868
(859) 264-8878
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05012668A
IN
Other
Enumeration date
09/26/2017
Last updated
09/26/2017
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