Individual
SAMANTHA PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20969 SW 84TH CT, CUTLER BAY, FL 33189-3408
(305) 720-0304
Mailing address
20969 SW 84TH CT, CUTLER BAY, FL 33189-3408
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
26594
FL
Other
Enumeration date
04/14/2016
Last updated
04/14/2016
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