Individual
DEREK PENNYBAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
590 CALDERSBURGH ST, COSHOCTON, OH 43812-1000
(740) 502-2907
Mailing address
104 1/2 WALNUT ST, COSHOCTON, OH 43812
(740) 552-1400
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/22/2023
Last updated
11/22/2023
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