Provider Demographics
NPI:1699571059
Name:PENNINGTON, VICTORIA LEE (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:LEE
Last Name:PENNINGTON
Suffix:
Gender:
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23515 NE NOVELTY HILL RD STE B213
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98053-2072
Mailing Address - Country:US
Mailing Address - Phone:425-868-5260
Mailing Address - Fax:425-868-8604
Practice Address - Street 1:23515 NE NOVELTY HILL RD STE B213
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98053-2072
Practice Address - Country:US
Practice Address - Phone:425-868-5260
Practice Address - Fax:425-868-8604
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-24
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL.0020285225100000X
WACPO42106T225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist