MR. Daniel Pena, ATC, LPTA
NPI #1417045444 in Kirtland Afb, New Mexico
Provider Information
- NPI Number
- 1417045444
- Entity Type
- Individual
- Name
- MR. Daniel Pena, ATC, LPTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC, LPTA
- Enumeration Date
- Oct 11, 2006
- Last Updated
- Jan 31, 2018
Practice Location
- Address
- 4501 BIGGS AVENUE BLDG 939
- City
- Kirtland Afb
- State
- New Mexico
- ZIP Code
- 87117-1908
- Phone
- (505) 846-7377
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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