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1356595458
NATHANIEL L PENA
ORANGE PARK, FL
NPI
1356595458
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT12224)
Enumeration Date
2008-11-17
Last Update Date
2008-11-17
Business Address
-- NATHANIEL L PENA PT
1248 KINGSLEY AVE
ORANGE PARK, FL 32073-4699
Phone number: 904-269-7817
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Mailing Address
-- NATHANIEL L PENA PT
2222 SULLIVAN TRL
EASTON, PA 18040-7958
Phone number: 800-944-9782
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