Individual
BRADLEY THOMAS PENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
353 N GRANDSTAFF DR, AUBURN, IN 46706-1666
(260) 927-9270
(260) 927-9272
Mailing address
4251 LAHMEYER RD, FORT WAYNE, IN 46815-5676
(260) 432-4700
(260) 459-9262
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05013026A
IN
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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