Individual
PENNY BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PRS 175T00000X
Contact information
Practice address
1918 N MAIN ST, FINDLAY, OH 45840-3818
(419) 425-5050
Mailing address
104 N MAIN ST, MARYSVILLE, OH 43040-1106
(614) 334-6903
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
175T000
—
Other
Enumeration date
04/10/2018
Last updated
02/11/2025
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