JESSICA MICHELLE PENA

GEORGETOWN, TX
NPI1174168116
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: TX  2145800)
Enumeration Date2019-11-13
Last Update Date2019-11-13
Business Address
JESSICA MICHELLE PENA PTA
4011 WILLIAMS DR
GEORGETOWN, TX 78628-2491
Phone number: 512-868-2700
Mailing Address
JESSICA MICHELLE PENA PTA
9301 AXTELLON CT
AUSTIN, TX 78749-4168
Phone number: 512-743-4053