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Individual

ELIZABETH PENALOZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
317 1ST AVE NW # 103, ALBANY, OR 97321-2225
(541) 812-5254
Mailing address
1420 HILL ST SE, ALBANY, OR 97322-6712
(541) 401-2651

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9977
OR

Other

Enumeration date
11/18/2024
Last updated
11/18/2024
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