Individual
WAYNE ALLEN PENNIMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.T., A.T.C, CSCS
Contact information
Practice address
45 HIGH ST, CLINTON, MA 01510-2906
(508) 826-5968
Mailing address
21 COLONIAL DR, CLINTON, MA 01510-1469
(508) 826-5968
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
11012
MA
Other
Enumeration date
08/01/2007
Last updated
01/22/2015
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