Individual
TOMASINA PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2639 W STATE ROAD 434, LONGWOOD, FL 32779-4878
(407) 321-9728
Mailing address
76 PINE FOREST PL, APOPKA, FL 32712-2768
(407) 201-9594
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
FL
Other
Enumeration date
09/16/2021
Last updated
09/16/2021
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