Doctor Name: | MRS. JODY MARIE PENA |
NPI Number: | 1093806788 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | 2001010222 |
Business Practice Address: | 411 Oak St Cincinnati, OH - 452192598 |
Business Phone Number: | 5139841800 |
Business Fax Number: | 5139844909 |
Mailing Address: | 1112 Sw Misty Crk, BLUE SPRINGS |
State: | MO |
Postal Code: | 640155297 |
Phone Number: | 8162246576 |
Fax Number: | |
NPI Enumeration Date: | 09/27/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2001010222 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |