ANNISA SUZETTE PENFOLD

ALBUQUERQUE, NM
NPI1255878641
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA26785)
Enumeration Date2017-01-24
Last Update Date2024-02-05
Business Address
ANNISA SUZETTE PENFOLD PTA
5006 COPPER AVE NE
ALBUQUERQUE, NM 87108-1301
Phone number: 505-268-7988
Mailing Address
ANNISA SUZETTE PENFOLD PTA
9468 E COLONIAL DR
ORLANDO, FL 32817-4150
Phone number: 407-281-3803
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