Individual
MISS LYNNE MARIE PENKUNAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2720 CHARLES TOWN RD, MARTINSBURG, WV 25401-5626
(304) 263-0933
Mailing address
16615 HAWKS LANDING LN, WILLIAMSPORT, MD 21795-4035
(301) 648-6066
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
00001155
WV
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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