Individual
MRS. HOLLY PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
8910 184TH AVE E, BONNEY LAKE, WA 98391-8531
(253) 863-7510
(253) 863-5970
Mailing address
26837 MAPLE VALLEY BLACK DIAMOND RD SE, STE 200, MAPLE VALLEY, WA 98038-9917
(425) 413-4427
(425) 413-4402
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00008860
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8333379
—
WA
Enumeration date
08/18/2005
Last updated
11/22/2016
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