Individual
PENNY LOU FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
101 13TH ST, HUNTINGTON, WV 25701-1653
(304) 696-6939
Mailing address
101 13TH ST, HUNTINGTON, WV 25701-1653
(304) 696-6939
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
PTA 01294
OH
225200000X
Physical Therapy Assistant
PTA A00989
KY
225200000X
Physical Therapy Assistant
Primary
PTA00096
WV
Other
Enumeration date
11/01/2006
Last updated
12/31/2014
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