Individual
PATRICK V PEPENELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT DPT
Contact information
Practice address
4475 E KNOX RD, PHOENIX, AZ 85044-4400
(480) 893-1200
Mailing address
111 E PALOMINO DR, GILBERT, AZ 85296-2849
(480) 234-7100
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
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