Greg Penny
Recreation Therapist in Fort Lauderdale, FL. Individual provider (NPI-1).
NPI number1770017618
StatusActive
Last updated in NPPESApr 18, 2017
Details
- NPI
- 1770017618
- Entity type
- Individual (NPI-1)
- Name
- Greg Penny
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 18, 2017
- Last updated
- Apr 18, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225800000X | Recreation Therapist | – | – | Yes |
Practice location
6555 Nw 9th AveSuite 112
Fort Lauderdale, FL 33309-2067
Phone 954-771-2091
Mailing address
6501 Red Hook PlzSt Thomas, VI 00802-1373
Phone 405-821-3077
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