NPI 1558403725

Susan Elizabeth Penrod, ATC

Practitioner Athletic Trainer Brick, NJ

Practice location

Address: 2001 Lanes Mill Rd, Brick, NJ 08724-1405
Phone: (732) 785-3090
Fax: (732) 836-1251
Mailing address: 412 Rose Ave, Brick, NJ 08724-2108

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 25MT00058400 (NJ)

Other Specialist/Technologist providers in New Jersey →

Registry record

NPI: 1558403725
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Feb 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.