SUSAN ELIZABETH PENROD

BRICK, NJ
NPI1558403725
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NJ  25MT00058400)
Enumeration Date2007-02-13
Last Update Date2007-07-08
Business Address
Ms. SUSAN ELIZABETH PENROD ATC
2001 LANES MILL RD
BRICK, NJ 08724-1405
Phone number: 732-785-3090
Mailing Address
Ms. SUSAN ELIZABETH PENROD ATC
412 ROSE AVE
BRICK, NJ 08724-2108
Phone number: 732-458-0367
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