SAMUEL PENNINGTON

GERING, NE
NPI1538857446
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: NE  1103)
Enumeration Date2023-04-27
Last Update Date2023-04-27
Business Address
SAMUEL PENNINGTON
2325 LODGE DR
GERING, NE 69341-6825
Phone number: 480-466-4659
Mailing Address
SAMUEL PENNINGTON
2325 LODGE DR
GERING, NE 69341-6825
Phone number: 480-466-4659
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