Individual
MS. KATE PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
1475 ROOSEVELT AVE, CARTERET, NJ 07008-1414
(862) 686-9919
Mailing address
1475 ROOSEVELT AVE, CARTERET, NJ 07008-1414
(862) 686-9919
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00313000
NJ
Other
Enumeration date
02/02/2023
Last updated
02/02/2023
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