Individual
MRS. JODY MARIE PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
411 OAK ST, CINCINNATI, OH 45219-2598
(513) 984-1800
(513) 984-4909
Mailing address
1112 SW MISTY CRK, BLUE SPRINGS, MO 64015-5297
(816) 224-6576
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2001010222
MO
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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