Individual
MR. JAMES ANTHONY PENNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1581 E WARREN AVE, OZARK, MO 65721-7782
(417) 844-0402
Mailing address
1581 E WARREN AVE, OZARK, MO 65721-7782
(417) 844-0402
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
105091
MO
Other
Enumeration date
03/14/2008
Last updated
03/14/2008
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