Individual
PATRICK V PEPENELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11169
AZ
225100000X
Physical Therapist
2305208435
VA
225100000X
Physical Therapist
PT021286
PA
Other
Enumeration date
06/09/2011
Last updated
03/28/2020
Update your record
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