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Individual

MR. MICHAEL DEAN PENNINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S.P.T.

Contact information

Practice address
1800 SE MOBERLY LN STE 6, BENTONVILLE, AR 72712-7017
(479) 715-6330
(479) 268-5144
Mailing address
1800 SE MOBERLY LN STE 6, BENTONVILLE, AR 72712-7017
(479) 715-6330
(479) 268-5144

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
4031
OR
225100000X
Physical Therapist
Primary
PT4906
AR

Other

Enumeration date
07/26/2006
Last updated
11/18/2024
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