Individual
SUSAN KAY PENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
8200 DODGE STREET, CHILDREN'S HOSPITAL & MEDICAL CENTER, OMAHA, NE 68114-4113
(402) 955-3980
Mailing address
32108 W LAKE PARK DR, SOUTH BEND, NE 68058-4323
(402) 944-3581
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
225
NE
Other
Enumeration date
06/23/2009
Last updated
06/23/2009
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