Individual
GARY PENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
206 PURCELL DR, XENIA, OH 45385-1214
(937) 432-5104
Mailing address
206 PURCELL DR, XENIA, OH 45385-1214
(937) 432-5104
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
OH
Other
Enumeration date
01/26/2026
Last updated
01/26/2026
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