Individual
ALISON PENROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5535 S WILLIAMSON BLVD, STE 774, PORT ORANGE, FL 32128
(800) 330-7711
Mailing address
602 CHERRY ST, WINDBEE, PA 15936
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL002014L
PA
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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