STEPHEN LANCE PENNINGTON

HUNTINGTON, WV
NPI1073993275
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WV  PTA 001910)
Enumeration Date2015-06-02
Last Update Date2015-06-02
Business Address
-- STEPHEN LANCE PENNINGTON
101 13TH ST
HUNTINGTON, WV 25701-1653
Phone number: 304-525-7622
Mailing Address
-- STEPHEN LANCE PENNINGTON
PO BOX 1046
BARBOURSVILLE, WV 25504-3046
Phone number: 304-561-4944