Individual
GREG PENNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6555 NW 9TH AVE, SUITE 112, FORT LAUDERDALE, FL 33309-2067
(954) 771-2091
Mailing address
6501 RED HOOK PLZ, ST THOMAS, VI 00802-1373
(405) 821-3077
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
04/18/2017
Last updated
04/18/2017
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