Individual
JUAN J PENAFLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5301 TIMBERGATE DR, CORPUS CHRISTI, TX 78413
(361) 993-2298
Mailing address
5301 TIMBERGATE DR, CORPUS CHRISTI, TX 78413-4607
(361) 993-2298
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2090847
—
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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