| Brian H Pennock, DPT, ATC | |
|
5300 Adams Ave Pkwy, 2b, Ogden, UT 84405-6902 | |
| (801) 475-0303 | |
| (801) 475-0101 |
| Full Name | Brian H Pennock |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 5300 Adams Ave Pkwy, Ogden, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982708418 | NPI | - | NPPES |
| D3220 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2852142401 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Brian H Pennock, DPT, ATC 5300 Adams Ave Pkwy, 2b, Ogden, UT 84405-6902 Ph: (801) 475-0303 | Brian H Pennock, DPT, ATC 5300 Adams Ave Pkwy, 2b, Ogden, UT 84405-6902 Ph: (801) 475-0303 |
Ernie Chasias Chavez, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5349 S Adams Ave, Suite A, Ogden, UT 84405 Phone: 801-479-9865 Fax: 801-479-5846 | |
Sports Medicine Clinic Physical Therapist Medicare: Medicare Enrolled Practice Location: 2261 Kiesel Ave., Suite #320, Ogden, UT 84401 Phone: 801-621-8835 Fax: 801-528-5357 | |
Melissa Arlene Ita'aehau, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5349 S Adams Ave, Suite A, Ogden, UT 84405 Phone: 801-479-9865 Fax: 801-479-5846 | |
Dallen S Wheelwright, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 375 E 5350 S, Ogden, UT 84405 Phone: 801-479-5700 | |
Chariton Arnold Ferrin Iii, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-7615 Fax: 801-387-7667 | |
Scott C Roberts, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4700 Harrison Blvd, Ogden, UT 84403 Phone: 801-475-3870 Fax: 801-475-3876 | |
Carly Noel Adams, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5349 Adams Ave Pkwy, Suite A, Ogden, UT 84405 Phone: 801-479-9865 Fax: 801-479-5846 |