Individual
J PENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
1205 WOODLAND AVE, JOHNSON CITY, TN 37601-2632
(423) 791-1986
Mailing address
1205 WOODLAND AVE, JOHNSON CITY, TN 37601-2632
(423) 791-1986
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9479
TN
Other
Enumeration date
07/23/2016
Last updated
07/23/2016
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