Individual
MRS. PENNY JEAN PRYOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
401 IDAHO AVE, ORDWAY, CO 81063-1328
(719) 267-3678
(719) 267-3670
Mailing address
721 GREENS LN, FOWLER, CO 81039-1339
(719) 263-4172
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
002
WY
Other
Enumeration date
02/02/2009
Last updated
02/02/2009
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