Aliecia Diann Penrod

NPI #1821771015 in Jackson, Missouri

Provider Information

NPI Number: 1821771015
Entity Type: Individual
Name: Aliecia Diann Penrod
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Aug 14, 2023
Last Updated: Aug 14, 2023

Practice Location

Address: 1420 WOODLAND DR
City: Jackson
State: Missouri
ZIP Code: 63755-1510
Phone: (573) 587-4204

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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