Individual
ANTHONY M. PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CHT, OT, LPN
Contact information
Practice address
2312 S DIXON RD, SUITE 250, KOKOMO, IN 46902-6401
(765) 455-2122
(765) 455-3122
Mailing address
2312 S DIXON RD, SUITE 250, KOKOMO, IN 46902-6401
(765) 455-2122
(765) 455-3122
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31002522A
IN
Other
Enumeration date
09/02/2006
Last updated
07/08/2007
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