Individual
MS. ELIZABETH A. PENROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1098 STATE ROUTE 221, MARATHON, NY 13803-1108
(607) 662-5825
Mailing address
87 W MAIN ST, DRYDEN, NY 13053-8706
(607) 844-3304
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
031140
NY
Other
Enumeration date
10/16/2018
Last updated
11/12/2019
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