Individual
MRS. SUZY PENNINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2379 CYPRESS CIR, KINGSTON REHAB CENTER-CMC, CONWAY, SC 29526-8921
(843) 347-8179
(843) 347-8003
Mailing address
568 UNIOLA DR, MYRTLE BEACH, SC 29579-3345
(843) 347-8179
(843) 347-8003
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3882
SC
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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