Individual
JASMIN ELENA PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3607 MENCHACA RD, AUSTIN, TX 78704-5947
(512) 444-7219
(512) 982-4331
Mailing address
3607 MENCHACA RD, AUSTIN, TX 78704-5947
(512) 444-7219
(512) 982-4331
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1369703
TX
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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