MARY M POWELL-PENRITH

SAN DIEGO, CA
NPI1609937978
Former NameMARY M LAKE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  PT 11967)
Additional Taxonomies225000000X Orthotic Fitter
(Licence: CA  PT 11967)
2251X0800X Physical Therapist Orthopedic
(Licence: CA  PT 11967)
Enumeration Date2006-12-12
Last Update Date2016-09-16
Business Address
MRS. MARY M POWELL-PENRITH PT
8344 CLAIREMONT MESA BLVD SUITE 110
SAN DIEGO, CA 92111-1307
Phone number: 858-736-6672
Mailing Address
MRS. MARY M POWELL-PENRITH PT
7514 GIRARD AVE SUITE 1-513
LA JOLLA, CA 92037-5149
Phone number: 858-736-6672