Individual
ALICIA PENWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1879 DEERFIELD RD, LEBANON, OH 45036-9946
(513) 695-2900
Mailing address
1879 DEERFIELD RD, LEBANON, OH 45036-9946
(513) 695-2900
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
11500
OH
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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