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Individual

MRS. JEANNETT M. PENNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.P.T.

Contact information

Practice address
8862 BENDER ROAD, SUITE 101, LYNDEN, WA 98264
(360) 354-1115
(360) 354-0321
Mailing address
8862 BENDER ROAD, SUITE 101, LYNDEN, WA 98264
(360) 354-1115
(360) 354-0321

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00007467
WA

Other

Enumeration date
11/25/2008
Last updated
05/07/2012
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