SearchIndiana225200000X

James Penn, PTA

NPI 1689985764 · on the registry since 2010 · sole proprietor

Practice

Address
5700 Wilkie Dr
Fort Wayne, IN 46804
Phone
(260) 432-7556
Organisation at this address
Pulaski Memorial Hospital
Aperion Care Fort Wayne Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
225200000X
225200000X
Also registered as
225200000X
225200000X
Licence states on file
IN, TX, TN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-06-23

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 Indiana