Doctor Name: | DR. KIMBERLY ANN PENA |
NPI Number: | 1285701730 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 27904 |
Business Practice Address: | 45 Terry Rd Smithtown, NY - 117873894 |
Business Phone Number: | 5169038145 |
Business Fax Number: | |
Mailing Address: | 16 Hills Park Ln, SMITHTOWN |
State: | NY |
Postal Code: | 117874062 |
Phone Number: | 6316568294 |
Fax Number: | |
NPI Enumeration Date: | 11/29/2006 |
NPI Last Update Date: | 11/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 27904 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |