Individual
MISS PENNY WALTER FOLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1 S BOULEVARD, NYACK, NY 10960-3604
(845) 358-1710
(845) 353-2147
Mailing address
1 S BOULEVARD, NYACK, NY 10960-3604
(845) 358-1710
(845) 353-2147
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000234
NY
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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