Individual
ALEXANDER JORDAN PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
107 ROWAN BLVD, GLASSBORO, NJ 08028-2203
(856) 347-0333
Mailing address
207 OSWEGO CT, MOUNT LAUREL, NJ 08054-5277
(609) 781-1556
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA02260100
NJ
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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