Individual
AUTUMN PENNINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
314 FALCON RUN, MORGANTOWN, WV 26508-4529
(304) 710-6944
Mailing address
314 FALCON RUN, MORGANTOWN, WV 26508-4529
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004911
WV
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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