Individual provider · Type 1 NPI

Roberta Rae Pennington, RPT

Pediatric Physical Therapist · San Clemente, CA

NPI number 1093845299 Active

Practice location

1120 Via Callejon, Suite B
San Clemente, CA 92673-6213

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X14647 (CA)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1093845299

Roberta Rae Pennington, RPT's National Provider Identifier is 1093845299, issued on Mar 6, 2007. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in San Clemente, CA. The record was last updated on Feb 28, 2012.