Penny Hines, OTR/L

NPI #1801295100 in Medway, Ohio

Provider Information

NPI Number: 1801295100
Entity Type: Individual
Name: Penny Hines, OTR/L
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Credential: OTR/L
Enumeration Date: Aug 22, 2014
Last Updated: Aug 22, 2014

Practice Location

Address: 11755 GERLAUGH RD
City: Medway
State: Ohio
ZIP Code: 45341-9407
Phone: (937) 205-6642

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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