Individual
DANIELLE PENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
131 PIKE MILL PL, MONTGOMERY, TX 77316-6418
(970) 497-0022
Mailing address
131 PIKE MILL PL, MONTGOMERY, TX 77316-6418
(970) 497-0022
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2133048
TX
Other
Enumeration date
02/23/2018
Last updated
02/23/2018
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