Individual
PENNY KILLILEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
417 HILL RD N, PICKERINGTON, OH 43147-1310
(614) 788-5181
Mailing address
437 WHITE PATH ST, PATASKALA, OH 43062-8651
(740) 739-2227
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3877
OH
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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