Individual
AMANDA L PENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7235 WHIPPLE AVE NW, NORTH CANTON, OH 44720-7137
(330) 418-8200
Mailing address
5997 MONTAUK POINT, VERMILLION, OH 44089
(440) 967-5506
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.06061
OH
Other
Enumeration date
11/27/2007
Last updated
11/27/2007
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