Individual
PHILLIP LLOYD PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2303 WELLINGTON DR SW STE B, WILSON, NC 27893-8620
(252) 243-6818
Mailing address
205 SAINT ANNES RD, NASHVILLE, NC 27856-7644
(252) 904-2204
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A8475
NC
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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