Jason Penoli, P.T

NPI 1598994865 · on the registry since 2009

Practice

Address: 2501 W William Cannon Dr
Bldg 1, Ste #102
Austin, TX 78745
Phone: (512) 651-0301
Fax: (512) 651-0305
Organisation at this address: Simon Garza Jr
Apa Pharmacy Llc
Flourish Health Llc
Vonzee Interests Llc
Stonegate Pharmacy Lp
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 73

Registry record

Primary taxonomy: 225100000X
225100000X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2013-03-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas