Individual
DR. ADAM WYATT PENNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4130 TAMIAMI TRL STE 2, PORT CHARLOTTE, FL 33952-9207
(844) 287-4101
(941) 833-4101
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT21843
FL
Other
Enumeration date
12/21/2006
Last updated
12/27/2023
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