Pennington, Roberta Rae

Pennington, Roberta Rae is an individual health care provider with primary practice located at 1120 Via Callejon Suite B, San Clemente CA 92673-6213. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Pennington, Roberta Rae can be contacted via phone (949) 498-5100.

Contact Information

Primary practice address
1120 Via Callejon Suite B San Clemente CA 92673-6213
Phone: (949) 498-5100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 14647 California

Profile Details

NPI number 1093845299
LBN Legal business name Pennington, Roberta Rae
Credentials Registered Physical Therapist (RPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2007
Last updated Feb 28th, 2012 - about 14 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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