Pennington, Tannya I

Pennington, Tannya I is an sole proprietor health care provider with primary practice located at 154 Cornerstone Blvd , Hot Springs AR 71913-6560. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Pennington, Tannya I can be contacted via phone (501) 525-0575.

Contact Information

Primary practice address
154 Cornerstone Blvd Hot Springs AR 71913-6560
Phone: (501) 525-0575
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTA1343 Arkansas

Profile Details

NPI number 1417458811
LBN Legal business name Pennington, Tannya I
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2018
Last updated Jun 16th, 2018 - about 7 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 1417458811 NPPES
Arkansas MEDICAID 140877721

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