Individual
MR. RICHARD EVAN PENROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., P.T.
Contact information
Practice address
460 W 600 N, TREMONTON, UT 84337-2400
(435) 257-4400
Mailing address
460 W 600 N, TREMONTON, UT 84337-2400
(435) 257-4400
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1197642401
UT
225100000X
Physical Therapist
PT-2169
ID
Other
Enumeration date
09/25/2008
Last updated
10/29/2009
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