Individual
ANGELICA PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2308 HIGHWAY 121, BEDFORD, TX 76021-5903
(817) 571-0000
Mailing address
2909 URBANA PL, LUBBOCK, TX 79407-4319
(210) 385-7918
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2156762
TX
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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