MR. Paul Logronio Penoliar, OTR/L C/NDT

NPI #1134560386 in Glendale, California

Provider Information

NPI Number: 1134560386
Entity Type: Individual
Name: MR. Paul Logronio Penoliar, OTR/L C/NDT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: OTR/L C/NDT
Enumeration Date: Jul 16, 2013
Last Updated: Jul 16, 2013

Practice Location

Address: 332 N KENWOOD ST APT 4
City: Glendale
State: California
ZIP Code: 91206-3549
Phone: (818) 472-9584

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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