Brian H Pennock, DPT, ATC
Brian H Pennock, DPT, ATC is a Physical Therapist in Private Practice in Ogden, Utah. Qualified in 1999, 27 years ago. Practices with Mountain Land Rehabilitation LLC, a 203-clinician group and accepts Medicare assignment. Licensed in Utah.
- Years since qualifying
- 27
- Licensed in
- UT
- In the registry since
- 2006
What do these letters mean?
Practice location Address checks out
5300 Adams Ave Pkwy 2BOgden, UT 84405-6902
Phone: (801) 475-0303
Fax: (801) 475-0101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 2852142401 (UT) |
|---|
Record details
| NPI number | 1982708418 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DPT , ATC |
| Sole proprietor | No |
| NPI enumerated | September 13, 2006 |
| Last updated in NPPES | July 21, 2008 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 1999 (27 years in practice) |
| Group practice | Mountain Land Rehabilitation Llc — 203 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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