IndividualActive
Donald Penny
NPI 1861941643 · Recreational Therapist Assistant · Fernandina Beach, FL
Provider details
- NPI number
- 1861941643
- Entity type
- Individual
- Primary specialty
- Recreational Therapist AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- A-1222 (NM)
Practice location
85072 Crews Rd
Fernandina Beach, FL 32034-1556
Phone: (904) 574-7477
Mailing address
85072 Crews Rd
Fernandina Beach, FL 32034-1556
Registry dates
- Enumerated
- 2016-09-22
- Last updated
- 2016-09-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.