Individual
BROCK PENNYWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16214 CONGO LANE, HOUSTON, TX 77040-2012
(281) 773-0060
Mailing address
16214 CONGO LANE, HOUSTON, TX 77040-2012
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1089191
TX
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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