Russell Pennington
NPI #1225572019 in Cottage Grove, Oregon
Provider Information
- NPI Number
- 1225572019
- Entity Type
- Individual
- Name
- Russell Pennington
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- Dec 13, 2016
- Last Updated
- Dec 13, 2016
Practice Location
- Address
- 146 VILLAGE DRIVE
- City
- Cottage Grove
- State
- Oregon
- ZIP Code
- 97424-9544
- Phone
- (541) 228-4086
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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