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Individual

MRS. MARY BAKER PENGELLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPT

Contact information

Practice address
THE ARC OF PALM BEACH COUNTY, 1201 AUSTRALIAN AVE., RIVIERA BEACH, FL 33404
(561) 842-3213
(561) 863-4352
Mailing address
5641 GRAMERCY DR, WEST PALM BEACH, FL 33407-1663
(561) 686-7727
(561) 686-7727

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT5775
FL

Other

Enumeration date
02/12/2007
Last updated
07/09/2007
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