Pennington, Holly

Pennington, Holly is an individual health care provider with primary practice located at 8910 184Th Ave E , Bonney Lake WA 98391-8531. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Pennington, Holly can be contacted via phone (253) 863-7510.

Contact Information

Primary practice address
8910 184Th Ave E Bonney Lake WA 98391-8531
Phone: (253) 863-7510
Fax: (253) 863-5970
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT00008860 Washington

Profile Details

NPI number 1346232022
LBN Legal business name Pennington, Holly
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Nov 22nd, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346232022 NPPES
Washington MEDICAID 8333379

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