Individual
AIREEN CENTENO DELA PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3420 WAKE FOREST RD, DURHAM, NC 27703-3522
(919) 596-9464
Mailing address
3420 WAKE FOREST RD, DURHAM, NC 27703-3522
(919) 596-9464
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P9998
NC
Other
Enumeration date
02/24/2015
Last updated
02/24/2015
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