| NPI Details | |
|---|---|
| NPI | 1568744050 |
| Gender | Female |
| Enumeration Date | 09/12/2011 |
| Last Updated | 09/12/2011 |
| Entity Type | Individual |
| Active | Over 6 years ago |
| Practice Location | |
|---|---|
| 1661 PARK RIDGE DR CHASKA MN, 55318-2841, US |
|
| Phone | (952) 428-1265 |
| Fax | (952) 428-1266 |
| Business Location | |
|---|---|
| 1661 PARK RIDGE DR CHASKA MN, 55318-2841, US |
|
| Phone | (952) 428-1265 |
| Fax | (952) 428-1266 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 2251P0200X |
| License State | Minnesota |
| License Number | 8728 |
| Remove 1568744050 NPI Number | |
According to our database, Carrie Pena DPT NPI is 1568744050, taxonomy code is 2251P0200X and license number is 8728, license state is located at Minnesota. Carrie Pena DPT physically located at 1661 Park Ridge Dr, Chaska MN, 55318-2841. NPI Number Carrie Pena DPT has the Individual type.
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1568744050 NPI number is provided on an as is basis without warranty of any kind. 1568744050 is maintained by the National Plan & Provider Enumeration System. The contents of Carrie Pena DPT are for informational purposes only.
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