Individual
PENNY WORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1207 SAINT ANDREWS PL, AUBURN, IN 46706-9482
(260) 927-4949
Mailing address
1207 SAINT ANDREWS PL, AUBURN, IN 46706-9482
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06002843A
IN
Other
Enumeration date
12/29/2010
Last updated
12/29/2010
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