Individual
GINA MARIE HERRERA PENDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
24500 JOHN T REID PKWY, SCOTTSBORO, AL 35768-2326
(214) 704-2040
Mailing address
24500 JOHN T REID PKWY, SCOTTSBORO, AL 35768-2326
(214) 704-2040
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1246411
TX
225100000X
Physical Therapist
31253
AZ
225100000X
Physical Therapist
Primary
PTH10250
AL
Other
Enumeration date
02/24/2020
Last updated
08/24/2023
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