Individual
EDGAR PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
430 MORTON PLANT ST STE 301, CLEARWATER, FL 33756-3395
(813) 978-9700
Mailing address
13020 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0915
(813) 978-9700
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA33741
FL
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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