Individual
PENNY PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1820 W MOLINE ST, MALVERN, AR 72104-2644
(501) 337-9581
Mailing address
3614 BEAR CV, BENTON, AR 72019-2043
(870) 307-9318
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTA2324
AR
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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