MS. Penny Irene Raines, PTA

NPI #1235315334 in Groveland, California

Provider Information

NPI Number: 1235315334
Entity Type: Individual
Name: MS. Penny Irene Raines, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jan 18, 2008
Last Updated: Jan 18, 2008

Practice Location

Address: 18687 MAIN STREET
City: Groveland
State: California
ZIP Code: 95370
Phone: (209) 962-4035

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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