Individual
PENNY MICHELE HENLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
700 RANDOLPH ST, RADFORD, VA 24141-2430
(540) 382-6298
Mailing address
700 RANDOLPH ST, RADFORD, VA 24141-2430
(540) 382-6298
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306001684
VA
Other
Enumeration date
03/09/2010
Last updated
03/09/2010
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