Individual
MRS. DONNA M. PANZL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
1076 COUNTY HIGHWAY 110, BROADALBIN, NY 12025-2905
(518) 883-8964
Mailing address
1076 COUNTY HIGHWAY 110, BROADALBIN, NY 12025-2905
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
016026
NY
Other
Enumeration date
06/18/2008
Last updated
06/18/2008
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