Individual
PENNY MCGUIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3767 DELAWARE AVE, KENMORE, NY 14217-1040
(716) 874-6175
Mailing address
3767 DELAWARE AVE, KENMORE, NY 14217
(716) 874-6175
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
007263
NY
Other
Enumeration date
09/19/2014
Last updated
09/19/2014
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