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Kelly Pennington, PT

Physical Therapist in Oak Lawn, IL. Individual provider (NPI-1).

NPI number1447569751
StatusActive
Last updated in NPPESMay 1, 2013

Details

NPI
1447569751
Entity type
Individual (NPI-1)
Name
Kelly Pennington
Credential
PT
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 4, 2010
Last updated
May 1, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist070015874ILYes

Practice location

4440 W 95th St
Oak Lawn, IL 60453-2600

Phone 708-684-5425

Mailing address

4440 W 95th St
Oak Lawn, IL 60453-2600

Phone 708-684-5425

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