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Individual
MRS. PENELOPE A LAMENDELLA
Active
Individual
MRS. PENELOPE A LAMENDELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
40QA00922500
NJ
225100000X
Physical Therapist
Primary
40QA00922500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00435905
RAILROAD MEDICARE
NJ
Enumeration date
02/22/2007
Last updated
09/11/2009
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