Individual
MRS. PENNY E HARKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MSPT, IMC
Contact information
Practice address
2730 ISABELLA BLVD, SUITE 10, JACKSONVILLE BEACH, FL 32250-8001
(904) 372-4070
Mailing address
13738 WEEPING WILLOW WAY, JACKSONVILLE, FL 32224-6899
(904) 607-6594
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT007503
GA
2251P0200X
Pediatric Physical Therapist
Primary
PT 24039
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000149200
—
FL
05
—
000954742F
—
GA
05
—
000954742H
—
GA
Enumeration date
12/13/2006
Last updated
05/22/2013
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