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Manuel Pena Rosales, ATC, LAT
NPI 1801256698 · on the registry since 2016
Practice
- Address
- 1100 E 14th St
Pmb 4503
Ada, OK 74820 - Phone
- (580) 279-4655
- Organisation at this address
- East Central University
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-03-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma