Individual
DANAE MARIE PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7540 N 19TH AVE STE 200, PHOENIX, AZ 85021-7967
(888) 873-4221
Mailing address
716 S PEARSON AVE, GLENDIVE, MT 59330-2216
(406) 377-6030
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2081
MT
Other
Enumeration date
07/27/2009
Last updated
07/27/2009
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