Individual
JENNIFER PEDRAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4400 GULF AVE, GROVES, TX 77619-3717
(832) 459-3321
Mailing address
3171 SANDALWOOD DR, PORT NECHES, TX 77651-6019
(832) 459-3321
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2076437
TX
Other
Enumeration date
08/10/2018
Last updated
08/10/2018
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