| NPI | 1710460068 |
|---|---|
| Former Name | JAASHA PENA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: AZ 30293) |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2024-08-23 |