Individual
MRS. PENNY LANETTE DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
11800 DOVER CIR, OKLAHOMA CITY, OK 73162-3227
(405) 722-3382
Mailing address
11800 DOVER CIRCLE, OKC, OK 73162
(405) 722-3382
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TA145
OK
Other
Enumeration date
11/01/2012
Last updated
11/01/2012
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