Manuel David Pena Rosales, ATC, LAT

NPI #1801256698 in Ada, Oklahoma

Provider Information

NPI Number
1801256698
Entity Type
Individual
Name
Manuel David Pena Rosales, ATC, LAT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC, LAT
Enumeration Date
Mar 7, 2016
Last Updated
Mar 7, 2016

Practice Location

Address
1100 E 14TH ST
Address 2
PMB 4503
City
Ada
ZIP Code
74820-6915
Phone
(580) 279-4655

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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