DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RUSSELL PENNINGTON

Active Sole Proprietor

RUSSELL PENNINGTON is a Occupational Therapist healthcare provider located in COTTAGE GROVE, Oregon. NPI 1225572019 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · COTTAGE GROVE, OR

Registration Details

NPI Number
1225572019
Provider Type
Individual
Gender
Male
NPI Issued
Dec 13, 2016 (9.6304857633265 yrs)
Last Updated
Dec 13, 2016
License
09348 (OR)
Sole Proprietor
Yes

Practice Information

Address
146 VILLAGE DRIVE
COTTAGE GROVE, OR, 974249544
Browse OR providers · Browse ZIP 97424
Phone
5412284086
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in COTTAGE GROVE, OR

Name Credential NPI
MRS. KAITLIN MURIEL WEISMAN LPTA 1821337726
MRS. SHALENE MCMURRAY PTA 1316336100
NAOMI HIGGS 1851936157
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.