| Doctor Name: | KATHLEEN TAIBE PENNOCK |
| NPI Number: | 1275572661 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, PT |
| License Number: | 2305202695 |
| Business Practice Address: | 8266 Atlee Rd Suite 133pt Mechanicsville, VA - 231161804 |
| Business Phone Number: | 8045691665 |
| Business Fax Number: | 8045691628 |
| Mailing Address: | 9210 Arboretum Pkwy, Suite 260 RICHMOND |
| State: | VA |
| Postal Code: | 232363472 |
| Phone Number: | 8049154602 |
| Fax Number: | 8043278496 |
| NPI Enumeration Date: | 06/04/2006 |
| NPI Last Update Date: | 11/28/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 2305202695 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |