Individual
PENNY HAMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1705 SE BROADWAY AVE, ALBERT LEA, MN 56007-3265
(507) 668-2900
Mailing address
404 W FOUNTAIN ST, ALBERT LEA, MN 56007-2437
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A560
MN
Other
Enumeration date
10/25/2017
Last updated
01/28/2021
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